Organization
STATEN ISLAND MEDICAL OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA KATSNELSON MD (OWNER)
(847) 257-1244
Entity
Organization
Contact information
Practice address
1975 HYLAN BLVD, STATEN ISLAND, NY 10306
(186) 909-5917
(224) 235-4652
Mailing address
1975 HYLAN BLVD, STATEN ISLAND, NY 10306-3523
(718) 301-1100
(888) 979-6720
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
07/02/2014
Last updated
05/31/2018
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