Organization
STATEN ISLAND MEDICAL OF NEW YORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN KATSNELSON MD (DIRECTOR)
(847) 257-1244
Entity
Organization
Contact information
Practice address
1975 HYLAN BLVD STE C, STATEN ISLAND, NY 10306
(847) 305-3346
(888) 979-6720
Mailing address
4141 DUNDEE RD, NORTHBROOK, IL 60062-2129
(847) 257-1244
(224) 246-8042
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
03/04/2015
Last updated
05/24/2018
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