ST. NICHOLAS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC is a vascular surgery surgery in New York, NY. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. ST. NICHOLAS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC NPI is 1033631064. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1264 SAINT NICHOLAS AVE STE A
NEW YORK, NY
ZIP 10033-263
Phone: (718) 301-1100
Fax: (224) 246-8042
The provider's authorized official is Flora Katsnelson .
The authorized official title is Owner/director and has the following contact phone number (847) 257-1244.
The CLIA number assigned to this NPI record is 33D2157745 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 7/11/2017 and was last updated on 7/11/2017.