Organization
MOTT HAVEN PROFESSIONAL MEDICAL OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN KATSNELSON MD (CEO)
(847) 257-1244
Entity
Organization
Contact information
Practice address
384 E 149TH ST, BRONX, NY 10455-3908
(718) 301-1100
(224) 246-8042
Mailing address
304 WAINWRIGHT DR, NORTHBROOK, IL 60062-1900
(847) 257-1244
(224) 246-8042
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
265506
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105104
—
IL
Enumeration date
08/23/2017
Last updated
03/26/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us