Bushwick Professional Medical Services of New York LLC

NPI #1003393299 in Brooklyn, New York

Provider Information

NPI Number: 1003393299
Entity Type: Organization
Organization Name: Bushwick Professional Medical Services of New York LLC
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Jul 20, 2018
Last Updated: Jul 20, 2018

Practice Location

Address: 441 KNICKERBOCKER AVE STE A
City: Brooklyn
State: New York
ZIP Code: 11237-4508
Phone: (347) 773-2684

Authorized Official

Name: YAN KATSNELSON
Title: OWNER
Phone: (224) 318-0118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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