St. Nicholas Medical of New York, LLC

NPI #1316471352 in New York, New York

Provider Information

NPI Number: 1316471352
Entity Type: Organization
Organization Name: St. Nicholas Medical of New York, LLC
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Apr 17, 2017
Last Updated: May 24, 2018

Practice Location

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

Authorized Official

Name: YAN KATSNELSON, MD
Title: CEO
Phone: (847) 257-1244

Specialties & Taxonomy Codes

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

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