National Provider Identifier Database

JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
16203 JAMAICA AVE UNIT 200A
JAMAICA, NY11432
Phone: 718-301-1100
Fax: 224-246-8042
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X

* Indicates primary specialty

NPI Profile & details for JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC

NPI Number 1578080966
Legal business name
LBN
JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Authorized official YAN KATSNELSON - (CEO)
Entity Organization
Organization subpart No
Enumeration date 08/25/2017
Last updated 06/11/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 036105104

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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