NPI 1003393299
Bushwick Professional Medical Services of New York LLC
Practice location
- Address
- 441 Knickerbocker Ave STE a, Brooklyn, NY 11237-4508
- Phone
- (347) 773-2684
- Fax
- (718) 261-3893
- Mailing address
- PO Box 32, Northbrook, IL 60065-0032
Authorised official
- Name
- Yan Katsnelson
- Title
- Owner
- Phone
- (224) 318-0118
Registered specialties
Vascular Surgery Physician
Primary
Registry record
- NPI
- 1003393299
- Entity type
- Organization
- NPI issued
- 20 Jul 2018
- Record last updated
- 20 Jul 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.