Organization
USA PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN KATSNELSON MD (DIRECTOR)
(847) 257-1244
Entity
Organization
Contact information
Practice address
5920 MYRTLE AVE, RIDGEWOOD, NY 11385-5658
(718) 504-6364
(224) 246-8042
Mailing address
4141 DUNDEE RD, NORTHBROOK, IL 60062-2129
(847) 257-1244
(224) 246-8042
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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