Organization
SYRACUSE MEDICAL OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA KATSNELSON M.D. (OWNER)
(224) 318-0118
Entity
Organization
Contact information
Practice address
1101 ERIE BLVD E STE 201B, SYRACUSE, NY 13210-1144
(847) 593-8460
Mailing address
PO BOX 32, NORTHBROOK, IL 60065-0032
(847) 593-8460
(224) 235-4652
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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