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

Staten Island Medical of New York, LLC

Organization Vascular Surgery Physician · NPI 1669864369

Staten Island Medical of New York, LLC is a Vascular Surgery Physician in Staten Island, New York. Registered with an NPI since 2015.

In the registry since
2015
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 Ste C
Staten Island, NY 10306
Phone: (847) 305-3346
Fax: (888) 979-6720
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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 number1669864369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yan Katsnelson — Director · (847) 257-1244
NPI enumeratedMarch 4, 2015
Last updated in NPPESMay 24, 2018
Mailing address4141 Dundee Rd, Northbrook, IL 60062-2129

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