STATEN ISLAND MEDICAL OF NEW YORK LLC – NPI #1669888277
Surgery

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

STATEN ISLAND MEDICAL OF NEW YORK LLC is a surgeon located in STATEN ISLAND, NY. NPPES has assigned the NPI number 1669888277 to STATEN ISLAND MEDICAL OF NEW YORK LLC on July 02, 2014. 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 8 years ago on May 31, 2018. 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 STATEN ISLAND MEDICAL OF NEW YORK LLC below.

NPI Profile for
STATEN ISLAND MEDICAL OF NEW YORK LLC

NPI Number
1669888277
Enumeration Date

(about 12 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
STATEN ISLAND MEDICAL OF NEW YORK LLC
Primary location
1975 HYLAN BLVD
STATEN ISLAND, NY 10306
Phone: (186) 909-5917 Fax: (224) 235-4652
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FLORA KATSNELSON
OWNER
Phone: (847) 257-1244
Updated
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.