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

Mott Haven Professional Medical of New York LLC

Organization Vascular Surgery Physician · NPI 1922525781

Mott Haven Professional Medical of New York LLC provides Vascular Surgery Physician services in Bronx, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
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

384 E 149th St
Bronx, NY 10455-3908
Phone: (718) 301-1100
Fax: (224) 246-8042
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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 · Licence 265506 (NY)

Record details

NPI number1922525781
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yan Katsnelson — Ceo · (847) 257-1244
NPI enumeratedAugust 23, 2017
Last updated in NPPESMarch 26, 2018
Mailing address304 Wainwright Dr, Northbrook, IL 60062-1900

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