Organization
JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN KATSNELSON MD (CEO)
(847) 257-1244
Entity
Organization
Contact information
Practice address
16203 JAMAICA AVE UNIT 200A, JAMAICA, NY 11432
(718) 301-1100
(224) 246-8042
Mailing address
304 WAINWRIGHT DR, NORTHBROOK, IL 60062-1900
(847) 257-1244
(224) 246-8042
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036105104
IL
Other
Enumeration date
08/25/2017
Last updated
06/11/2018
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