# FOXHURST MEDICAL OF NEW YORK LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730547522
- **Authorized official:** YAN KATSNELSON MD (DIRECTOR)
- **Authorized official phone:** (224) 318-0118

## Contact information

- **Practice address:** 947 SOUTHERN BLVD STE B, BRONX, NY 10459
- **Practice address phone:** (718) 513-5855
- **Mailing address:** 304 WAINWRIGHT DR, NORTHBROOK, IL 60062-1900
- **Mailing address phone:** (847) 257-1244
- **Mailing address fax:** (224) 246-8042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2016
- **Last updated:** 05/31/2018