Organization
VALLEY STREAM MEDICAL OF NEW YORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN KATSNELSON MD (OWNER)
(847) 257-1244
Entity
Organization
Contact information
Practice address
2511 OCEAN AVE, SUITE 102, BROOKLYN, NY 11229-3950
(718) 301-1100
(224) 246-8042
Mailing address
4141 DUNDEE RD, NORTHBROOK, IL 60062-2129
(847) 593-8460
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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