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MOTT HAVEN MEDICAL OF NEW YORK LLC
NPI 1457873234
Surgery - Vascular Surgery in Bronx, NY

Active since July 12, 2017
384 E 149TH ST STE 201, BRONX, NY 10455(718) 301-1100(224) 246-8042 Get Directions Write a Review

NPPES record last updated: July 12, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mott Haven Medical Of New York Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOTT HAVEN MEDICAL OF NEW YORK LLC (NPI 1457873234) is a healthcare organization registered as a vascular surgery in Bronx, New York and active in the NPI registry since July 2017. The organization lists Flora Katsnelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1457873234
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameMOTT HAVEN MEDICAL OF NEW YORK LLC
Location Address384 E 149TH ST STE 201Bronx, NY 10455-3908
Mailing Address304 Wainwright DrNorthbrook, IL 60062-1900 · (847) 257-1244 · Fax (224) 246-8042
Phone(718) 301-1100
Fax(224) 246-8042
Organization SubpartNo
Authorized OfficialFlora KatsnelsonOwner · (847) 257-1244
Enumeration DateJuly 12, 2017
✔ NPI 1457873234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
384 E 149TH ST STE 201, Bronx, NY 10455
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Other Identifiers 1

Medicaid036113246IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mott Haven Medical Of New York LLC's NPI number?

The NPI number for Mott Haven Medical Of New York LLC is 1457873234. It was assigned to this organization in the NPPES registry on July 12, 2017.

Where is Mott Haven Medical Of New York LLC located?

Mott Haven Medical Of New York LLC is located at 384 E 149th St Ste 201, Bronx, NY 10455. The listed phone number is (718) 301-1100.

What is Mott Haven Medical Of New York LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Mott Haven Medical Of New York LLC was last updated on July 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.