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Organization
JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Active
Organization
JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN KATSNELSON MD (CEO)
(847) 257-1244
Entity
Organization
Contact information
Practice address
16203 JAMAICA AVE UNIT 200A, JAMAICA, NY 11432
(718) 301-1100
(224) 246-8042
Mailing address
304 WAINWRIGHT DR, NORTHBROOK, IL 60062-1900
(847) 257-1244
(224) 246-8042
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036105104
IL
Other
Enumeration date
08/25/2017
Last updated
06/11/2018
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