Organization
VALLEY STREAM PROFESSIONAL MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAB KATSNELSON MD (OWNER)
(847) 257-1244
Entity
Organization
Contact information
Practice address
260 W SUNRISE HWY, VALLEY STREAM, NY 11581-1011
(718) 310-1100
(224) 246-8042
Mailing address
4141 DUNDEE RD, NORTHBROOK, IL 60062-2129
(847) 257-1244
(224) 245-8042
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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