Organization
FORDHAM MEDICAL OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA KATSNELSON M.D. (OWNER)
(847) 772-0089
Entity
Organization
Contact information
Practice address
11 E FORDHAM RD STE B, BRONX, NY 10468-5406
(224) 318-0118
(224) 235-4652
Mailing address
304 WAINWRIGHT DR STE 110, NORTHBROOK, IL 60062-1919
(224) 318-0118
(224) 235-4652
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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