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

Staten Island Medical of New York, LLC

Organization Vascular Surgery Physician · NPI 1669864369

Staten Island Medical of New York, LLC provides Vascular Surgery Physician services in Staten Island, New York. Registered with an NPI since 2015.

In the registry since
2015
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

1975 Hylan Blvd Ste C
Staten Island, NY 10306
Phone: (847) 305-3346
Fax: (888) 979-6720
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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 number1669864369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yan Katsnelson — Director · (847) 257-1244
NPI enumeratedMarch 4, 2015
Last updated in NPPESMay 24, 2018
Mailing address4141 Dundee Rd, Northbrook, IL 60062-2129

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