Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WILLIAMSBURG MEDICAL OF NEW YORK LLC
Active
Organization
WILLIAMSBURG MEDICAL OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAN KATSNELSON (CEO)
(847) 774-5300
Entity
Organization
Contact information
Practice address
1229 BROADWAY STE 103, HEWLETT, NY 11557-2014
(847) 257-1244
Mailing address
PO BOX 32, NORTHBROOK, IL 60065-0032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
07/18/2026
Last updated
07/24/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers