Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fordham Professional Medical Services of New York LLC

Organization Vascular Surgery Physician · NPI 1124524970

Fordham Professional Medical Services of New York LLC is a Vascular Surgery Physician in Bronx, New York. Registered with an NPI since 2018.

In the registry since
2018
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

11 E Fordham Rd Ste A
Bronx, NY 10468-5406
Phone: (847) 593-8460
Fax: (224) 235-4652
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1124524970
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yan Katsnelson — Owner · (224) 318-0118
NPI enumeratedApril 2, 2018
Last updated in NPPESApril 2, 2018
Mailing address304 Wainwright Dr Ste 110, Northbrook, IL 60062-1919

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