CORONA MEDICAL OF NEW YORK LLC – NPI #1437691920
Surgery

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

Health Care Provider Taxonomy Code for Surgery

CORONA MEDICAL OF NEW YORK LLC is a surgeon located in JACKSON HEIGHTS, NY. NPPES has assigned the NPI number 1437691920 to CORONA MEDICAL OF NEW YORK LLC on November 15, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 3 years ago on Dec 06, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORONA MEDICAL OF NEW YORK LLC below.

NPI Profile for
CORONA MEDICAL OF NEW YORK LLC

NPI Number
1437691920
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CORONA MEDICAL OF NEW YORK LLC
Primary location
4004 FORLEY STREET
JACKSON HEIGHTS, NY 11372
Phone: (718) 301-1100 Fax: (224) 246-8042
Mailing address
304 WAINWRIGHT DR
NORTHBROOK, IL 60062-1900
Phone: (847) 257-1244 Fax: (224) 246-8042
Organization Subpart
No
Authorized Official
YAN KATSNELSON
OWNER
Phone: (847) 257-1244
Updated
Certification Date
Dec 06, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.