Organization
SYRACUSE PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN KATSNELSON MD (CEO / PRESIDENT)
(847) 593-8460
Entity
Organization
Contact information
Practice address
1101 ERIE BLVD E STE 201A, SYRACUSE, NY 13210-1144
(847) 593-8460
Mailing address
PO BOX 32, NORTHBROOK, IL 60065-0032
(224) 318-0118
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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