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

Staten Island Medical of New York LLC

Organization Vascular Surgery Physician · NPI 1669888277

Staten Island Medical of New York LLC provides Vascular Surgery Physician services in Staten Island, New York. Registered with an NPI since 2014.

In the registry since
2014
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
Staten Island, NY 10306
Phone: (186) 909-5917
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 number1669888277
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Flora Katsnelson — Owner · (847) 257-1244
NPI enumeratedJuly 2, 2014
Last updated in NPPESMay 31, 2018
Mailing address1975 Hylan Blvd, Staten Island, NY 10306-3523

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