SYRACUSE PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC


Address: 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144
Phone: 8475938460

SYRACUSE PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC (NPI# 1487287975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487287975
Entity Type Organization
Organization Name SYRACUSE PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Practice Address 1101 Erie Blvd E Ste 201a
Syracuse
NY 13210-1144
Mailing Address Po Box 32
Northbrook
IL 60065-0032
Practice Telephone 8475938460
Mailing Telephone 2243180118
Enumeration Date 2020-02-13
Last Update Date 2020-02-13
Authorized Official Name YAN KATSNELSON (CEO / PRESIDENT)
Authorized Official Telephone 8475938460
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations SYRACUSE PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC 600 Mamaroneck Avenue #400, Harrison, Ny 10528

Office Location

Street Address 1101 ERIE BLVD E STE 201A
City SYRACUSE
State NY
Zip Code 13210-1144

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558973586 Maizie Marie Shaw Social Worker 660 Madison Street, Syracuse, NY 13210 2020-08-20
1427666916 Christine Marie Welker Registered Nurse 735 Irving Avenue, Syracuse, NY 13210 2020-07-21
1386263994 Ashwini Krishna Ashwath Student in an Organized Health Care Education/Training Program 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 2020-04-14
1073142329 Kamala Ojha Student in an Organized Health Care Education/Training Program 750-east Adam's Street, Syracuse, NY 13210 2020-04-07
1003442369 Brittany Nicole Lippert Counselor 615 Madison St, Syracuse, NY 13210 2020-03-19
1902430499 Dkt Physician Pllc Internal Medicine 475 Irving Ave, Suite 410, Syracuse, NY 13210 2020-02-24
1376194720 Sarah Van Eenenaam Physician Assistant Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 2019-09-26
1265099022 Michelle Gallagher Psychologist Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 2019-05-28
1639659428 Francesca Wanda Cotrupe Physical Medicine & Rehabilitation Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 2018-08-21
1700370327 Dallin Lindahl Physical Medicine & Rehabilitation 750 E Adams St # Jh308, Syracuse, NY 13210 2018-06-18
Find all providers in zip 13210

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457983181 Syracuse Medical of New York LLC Surgery 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 2020-02-11
1659530343 Muhammad Asad Khan Surgery 104 Union Ave Ste 1005, Syracuse, NY 13203-1846 2008-06-06
1053490045 Syed N Zaman Surgery 104 Union Ave., Suite 1005, Syracuse, NY 13203-2761 2006-11-02
1609237304 St Joseph's Medical PC Surgery 104 Union Ave, Ste 1005, Syracuse, NY 13203-1843 2016-03-09
1134486509 Anthony Feghali Surgery 750 East Adams St, Syracuse, NY 13210 2012-04-23
1942447149 Kalenda Kasangana Surgery 750 E Adams St, Syracuse, NY 13210-2342 2009-01-11
1609076629 J Timothy Riley Surgery 104 Union Ave., Ste 1005, Syracuse, NY 13203-2761 2007-07-18
1194924647 Ankur Chawla Surgery 750 East Adams St, Syracuse, NY 13210 2007-07-15
1033289137 Robert E Carlin Surgery 104 Union Ave, #1005, Syracuse, NY 13203 2006-11-08
1861561953 Lawrence Semel Surgery 104 Union Ave, #1005, Syracuse, NY 13203 2006-11-06
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13210

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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