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

Jamaica Queens Professional Medical Services of New York LLC

Organization Vascular Surgery Physician · NPI 1578080966

Jamaica Queens Professional Medical Services of New York LLC is a Vascular Surgery Physician in Jamaica, New York. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
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

16203 Jamaica Ave Unit 200A
Jamaica, NY 11432
Phone: (718) 301-1100
Fax: (224) 246-8042
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 036105104 (IL)

Record details

NPI number1578080966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yan Katsnelson — Ceo · (847) 257-1244
NPI enumeratedAugust 25, 2017
Last updated in NPPESJune 11, 2018
Mailing address304 Wainwright Dr, Northbrook, IL 60062-1900

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