FORDHAM PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC


Address: 11 E Fordham Rd Ste A, Bronx, NY 10468-5406
Phone: 8475938460

FORDHAM PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC (NPI# 1124524970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124524970
Entity Type Organization
Organization Name FORDHAM PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Practice Address 11 E Fordham Rd Ste A
Bronx
NY 10468-5406
Mailing Address 304 Wainwright Dr Ste 110
Northbrook
IL 60062-1919
Practice Telephone 8475938460
Practice Fax Number 2242354652
Mailing Telephone 2243180118
Mailing Fax Number 2242354652
Enumeration Date 2018-04-02
Last Update Date 2018-04-02
Authorized Official Name YAN KATSNELSON (OWNER)
Authorized Official Telephone 2243180118
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
Allopathic & Osteopathic Physicians

Office Location

Street Address 11 E FORDHAM RD STE A
City BRONX
State NY
Zip Code 10468-5406

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922623776 Michalis Georgiou Student in an Organized Health Care Education/Training Program 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 2020-06-08
1184248072 Sindhuja Dogga Student in an Organized Health Care Education/Training Program James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 2020-06-05
1154945434 Ambreen Shahzadi Student in an Organized Health Care Education/Training Program James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 2020-06-03
1912521550 Zara Idrees Student in an Organized Health Care Education/Training Program 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 2020-05-29
1710531256 Ana Samely Maria Registered Nurse 2525 Aqueduct Ave B3, Bronx, NY 10468 2019-08-01
1114496007 Rachel A Squillante Speech-Language Pathologist 2280 Aqueduct Avenue, Bronx, NY 10468 2018-11-20
1528547312 Norwood Professional Medical Services of New York LLC Surgery 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 2018-08-13
1336628130 Norwood Medical of New York LLC Surgery 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 2018-08-13
1811473721 Okyeniba Medical PC Pediatrics 58 East Kingsbridge Road, Bronx, NY 10468 2018-07-13
1417446840 Amina Khalid Student in an Organized Health Care Education/Training Program 130 W Kingsbridge Rd., Bronx, NY 10468 2018-05-01
Find all providers in zip 10468

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528547312 Norwood Professional Medical Services of New York LLC Surgery 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 2018-08-13
1336628130 Norwood Medical of New York LLC Surgery 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 2018-08-13
1205332905 Fordham Medical of New York LLC Surgery 11 E Fordham Rd Ste B, Bronx, NY 10468-5406 2018-04-02
1366956260 Foxhurst Professional Medical Services of New York LLC Surgery 947 Southern Blvd Ste A, Bronx, NY 10459-3401 2017-11-30
1063926962 Pelham Pkwy Professional Medical Services of New York LLC Surgery 2157 White Plains Rd Ste A, Bronx, NY 10462 2017-11-30
1457873234 Mott Haven Medical of New York LLC Surgery 384 E 149th St Ste 201, Bronx, NY 10455-3908 2017-07-12
1730547522 Foxhurst Medical of New York LLC Surgery 947 Southern Blvd Ste B, Bronx, NY 10459 2016-02-08
1861649055 Anoushiravan Amini Hadjibashi Surgery 3400 Bainbridge Ave # 4311, Bronx, NY 10467-2404 2008-08-19
1588733232 Teruo Hirose Surgery 5830 Tyndall Ave, Bronx, NY 10471-2108 2006-11-07
1164504320 Kenneth A Goldstein Surgery Eastern Vascular Assoc, 3219 East Tremont Avenue, Bronx, NY 10461 2006-10-19
Find all providers in BRONX

Competitor

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City BRONX
Zip Code 10468

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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