Organization
ROSSVILLE PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Active
Organization
ROSSVILLE PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN KATSNELSON (CEO)
(847) 593-8460
Entity
Organization
Contact information
Practice address
1974 1ST AVE STE 1, NEW YORK, NY 10029-6430
(847) 593-8460
Mailing address
PO BOX 32, NORTHBROOK, IL 60065-0032
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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