Mott Haven Professional Medical Of New York Llc
LBN: Mott Haven Professional Medical Of New York Llc
Mott Haven Professional Medical Of New York Llc is an health care organization with primary practice located at 384 E 149Th St , Bronx NY 10455-3908. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty.
Mott Haven Professional Medical Of New York Llc can be contacted via phone (718) 301-1100, or through Katsnelson, Yan via phone (847) 257-1244.
Contact Information
Primary practice address
384 E 149Th St
Bronx NY 10455-3908
Phone: (718) 301-1100
Fax: (224) 246-8042
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 265506 | New York |
Profile Details
NPI number | 1922525781 |
---|---|
LBN Legal business name | Mott Haven Professional Medical Of New York Llc |
DBA Doing business as | |
Authorized official | Katsnelson, Yan Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 23rd, 2017 |
Last updated | Mar 26th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922525781 | NPPES |
Illinois | MEDICAID | 036105104 |
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