Fordham Professional Medical Services of New York LLC

NPI #1124524970 in Bronx, New York

Provider Information

NPI Number: 1124524970
Entity Type: Organization
Organization Name: Fordham Professional Medical Services of New York LLC
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Apr 2, 2018
Last Updated: Apr 2, 2018

Practice Location

Address: 11 E FORDHAM RD STE A
City: Bronx
State: New York
ZIP Code: 10468-5406
Phone: (847) 593-8460

Authorized Official

Name: YAN KATSNELSON, M.D.
Title: OWNER
Phone: (224) 318-0118

Specialties & Taxonomy Codes

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

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