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

St Nicholas Professional Medical Services of New York LLC

Organization Vascular Surgery Physician · NPI 1033631064

St Nicholas Professional Medical Services of New York LLC is a Vascular Surgery Physician in New York, New York. Registered with an NPI since 2017.

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

1264 Saint Nicholas Ave Ste A
New York, NY 10033-7263
Phone: (718) 301-1100
Fax: (224) 246-8042
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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 number1033631064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Flora Katsnelson — Owner/Director · (847) 257-1244
NPI enumeratedJuly 11, 2017
Last updated in NPPESJuly 11, 2017
Mailing address304 Wainwright Dr, Northbrook, IL 60062-1900

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