SYRACUSE PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
NPI 1487287975
Surgery - Vascular Surgery in Syracuse, NY

Active since February 13, 2020
1101 ERIE BLVD E STE 201A, SYRACUSE, NY 13210(847) 593-8460 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Syracuse Professional Medical Services Of New York Llc NPPES

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

SYRACUSE PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC (NPI 1487287975) is a healthcare organization registered as a vascular surgery in Syracuse, New York and active in the NPI registry since February 2020. The organization lists Yan Katsnelson, Ceo / President, as its authorized official.

NPPES Registry Identity

NPI1487287975
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSYRACUSE PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Location Address1101 ERIE BLVD E STE 201ASyracuse, NY 13210-1144
Mailing AddressPo Box 32Northbrook, IL 60065-0032 · (224) 318-0118
Organization SubpartNo
Authorized OfficialYan KatsnelsonCeo / President · (847) 593-8460
Enumeration DateFebruary 13, 2020
NPI 1487287975 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.
1101 ERIE BLVD E STE 201A, Syracuse, NY 13210

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 Syracuse Professional Medical Services Of New York LLC's NPI number?

The NPI number for Syracuse Professional Medical Services Of New York LLC is 1487287975. It was assigned to this organization in the NPPES registry on February 13, 2020.

Where is Syracuse Professional Medical Services Of New York LLC located?

Syracuse Professional Medical Services Of New York LLC is located at 1101 Erie Blvd E Ste 201A, Syracuse, NY 13210. The listed phone number is (847) 593-8460.

What is Syracuse Professional Medical Services 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 Syracuse Professional Medical Services Of New York LLC was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.