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Organization
SYRACUSE PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Active
Organization
SYRACUSE PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN KATSNELSON MD (CEO / PRESIDENT)
(847) 593-8460
Entity
Organization
Contact information
Practice address
1101 ERIE BLVD E STE 201A, SYRACUSE, NY 13210-1144
(847) 593-8460
Mailing address
PO BOX 32, NORTHBROOK, IL 60065-0032
(224) 318-0118
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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