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

St Nicholas Medical of New York, LLC

Organization Vascular Surgery Physician · NPI 1316471352

St Nicholas Medical of New York, LLC provides Vascular Surgery Physician services in New York, New York. Registered with an NPI since 2017.

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

1264 Saint Nicholas Ave Ste B
New York, NY 10033
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

Record details

NPI number1316471352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yan Katsnelson — Ceo · (847) 257-1244
NPI enumeratedApril 17, 2017
Last updated in NPPESMay 24, 2018
Mailing address304 Wainwright Dr, Northbrook, IL 60062-1900

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