Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Fordham Professional Medical Services of New York LLC

Organization Vascular Surgery Physician · NPI 1124524970

Fordham Professional Medical Services of New York LLC provides Vascular Surgery Physician services in Bronx, New York. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11 E Fordham Rd Ste A
Bronx, NY 10468-5406
Phone: (847) 593-8460
Fax: (224) 235-4652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1124524970
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yan Katsnelson — Owner · (224) 318-0118
NPI enumeratedApril 2, 2018
Last updated in NPPESApril 2, 2018
Mailing address304 Wainwright Dr Ste 110, Northbrook, IL 60062-1919

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