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Organization
NORWOOD PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Active
Organization
NORWOOD PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN KATSNELSON M.D. (CEO/PRESIDENT)
(224) 318-0118
Entity
Organization
Contact information
Practice address
3485-91 JEROME AVE, STE A, BRONX, NY 10467-1049
(347) 547-3099
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
08/13/2018
Last updated
03/20/2024
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