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Organization
SYRACUSE MEDICAL OF NEW YORK LLC
Active
Organization
SYRACUSE MEDICAL OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA KATSNELSON M.D. (OWNER)
(224) 318-0118
Entity
Organization
Contact information
Practice address
1101 ERIE BLVD E STE 201B, SYRACUSE, NY 13210-1144
(847) 593-8460
Mailing address
PO BOX 32, NORTHBROOK, IL 60065-0032
(847) 593-8460
(224) 235-4652
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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