Organization
WILLIAMSBURG MEDICAL OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAN KATSNELSON (CEO)
(847) 774-5300
Entity
Organization
Contact information
Practice address
1229 BROADWAY STE 103, HEWLETT, NY 11557-2014
(847) 257-1244
Mailing address
PO BOX 32, NORTHBROOK, IL 60065-0032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
07/18/2026
Last updated
07/24/2026
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