St. Nicholas Professional Medical Services of New York LLC

NPI #1033631064 in New York, New York

Provider Information

NPI Number: 1033631064
Entity Type: Organization
Organization Name: St. Nicholas Professional Medical Services of New York LLC
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Jul 11, 2017
Last Updated: Jul 11, 2017

Practice Location

Address: 1264 SAINT NICHOLAS AVE STE A
City: New York
State: New York
ZIP Code: 10033-7263
Phone: (718) 301-1100

Authorized Official

Name: FLORA KATSNELSON, MD
Title: OWNER/DIRECTOR
Phone: (847) 257-1244

Specialties & Taxonomy Codes

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

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