# USA PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC

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

## Provider details

- **NPI number:** 1962895680
- **Authorized official:** YAN KATSNELSON MD (DIRECTOR)
- **Authorized official phone:** (847) 257-1244

## Contact information

- **Practice address:** 5920 MYRTLE AVE, RIDGEWOOD, NY 11385-5658
- **Practice address phone:** (718) 504-6364
- **Practice address fax:** (224) 246-8042
- **Mailing address:** 4141 DUNDEE RD, NORTHBROOK, IL 60062-2129
- **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 |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 03/05/2015
- **Last updated:** 03/05/2015