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Contact Information

STATEN ISLAND MEDICAL OF NEW YORK, LLC
1975 HYLAN BLVD STE C
STATEN ISLAND, NY10306
 Phone: 847-305-3346
 Fax: 888-979-6720
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for STATEN ISLAND MEDICAL OF NEW YORK, LLC

NPI # 1669864369
LBN Legal business name STATEN ISLAND MEDICAL OF NEW YORK, LLC
Authorized official YAN KATSNELSON - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/04/2015
Last updated 05/24/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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