VALLEY STREAM PROFESSIONAL MEDICAL SERVICES, LLC (NPI# 1356739668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356739668 |
| Entity Type | Organization |
| Organization Name | VALLEY STREAM PROFESSIONAL MEDICAL SERVICES, LLC |
| Practice Address |
260 W Sunrise Hwy Valley Stream NY 11581-1011 |
| Mailing Address |
4141 Dundee Rd Northbrook IL 60062-2129 |
| Practice Telephone | 7183101100 |
| Practice Fax Number | 2242468042 |
| Mailing Telephone | 8472571244 |
| Mailing Fax Number | 2242458042 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |
| Authorized Official Name | YAB KATSNELSON (OWNER) |
| Authorized Official Telephone | 8472571244 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | VALLEY STREAM PROFESSIONAL MEDICAL SERVICES, LLC | 600 Mamaroneck Avenue #400, Harrison, Ny 10528 |
| Street Address |
260 W SUNRISE HWY |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11581-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017464 | Mark R Kahn | Dermatology | 260 W Sunrise Hwy, Suite 305, Valley Stream, NY 11581-1011 | 2005-07-19 |
| 1013432905 | Abimbola Jaiyesimi | Nurse Practitioner | 260 W Sunrise Hwy, Ste. 200, Valley Stream, NY 11581-1011 | 2017-08-11 |
| 1417472143 | Sunrise Podiatry PC | Podiatrist | 260 W Sunrise Hwy, Valley Stream, NY 11581-1011 | 2017-08-03 |
| 1013309400 | Queens Long Island Dental Care PC | Dentist | 260 W Sunrise Hwy, Valley Stream, NY 11581-1011 | 2015-02-23 |
| 1922396787 | Madiha Majid | Internal Medicine | 260 W Sunrise Hwy, Ste 200, Valley Stream, NY 11581-1011 | 2011-07-14 |
| 1114216249 | Jewel Liao | Ophthalmology | 260 W Sunrise Hwy, Ste 200, Valley Stream, NY 11581-1011 | 2011-03-29 |
| 1962718916 | Rose-therese Raphael | Nurse Practitioner | 260 W Sunrise Hwy, Valley Stream, NY 11581-1011 | 2010-08-27 |
| 1922330679 | Sharon K Harper | Pharmacist | 260 W Sunrise Hwy, Pharmacy, Valley Stream, NY 11581-1011 | 2010-02-05 |
| 1811228703 | Nicolas M Aquino II | Internal Medicine | 260 W Sunrise Hwy, Valley Stream, NY 11581-1011 | 2010-01-17 |
| 1366778912 | Eyecare Advantage, Inc. | Eyewear Supplier (Equipment, not the service) | 260 W Sunrise Hwy, Valley Stream, NY 11581-1011 | 2009-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773437 | Step 2 Smile Physical Therapy PC | Physical Therapist | 74 Sylvan Place, Valley Stream, NY 11581 | 2019-05-01 |
| 1700369220 | Lyubov Nikolayeva | Nurse Practitioner | 76 Halyard Rd, Valley Stream, NY 11581 | 2018-09-11 |
| 1154846871 | Shayena Donaldson-fortune | Occupational Therapist | 100 Lotus Oval N, Valley Stream, NY 11581 | 2017-08-03 |
| 1255877080 | Fulin Wang | Acupuncturist | 45 Dartmouth St, Valley Stream, NY 11581 | 2017-01-18 |
| 1356796072 | Idit Ariel Zim | Speech-Language Pathologist | 924 Crestview Ave, Valley Stream, NY 11581 | 2016-05-02 |
| 1487086245 | Florence Jean Baptiste | Behavioral Analyst | 790 University Street, North Woodmere, NY 11581 | 2013-08-05 |
| 1760824254 | Tatiana Grant | Counselor | 70 Sunrise Hwy, Suite 500 #579, Valley Stream, NY 11581 | 2013-07-24 |
| 1740625698 | Patricia R. Curtis | Specialist | 96 Roosevelt Ave., Valley Stream, NY 11581 | 2013-05-06 |
| 1669769006 | Fredrica Beth Lieberstein | Health Educator | 792 Longview Avenue, North Woodmere, NY 11581 | 2011-07-06 |
| 1811288186 | Bruce Neil Goldman | Speech-Language Pathologist | 1030 Cedarhurst Street, North Woodmere, NY 11581 | 2011-04-21 |
| Find all providers in zip 11581 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437302403 | Sheldon Med-surge PC | Surgery | 30 E Sunrise Hwy, Valley Stream, NY 11581-1220 | 2008-11-03 |
| 1225085335 | Devendra Brahmbhatt | Surgery | 210 E Sunrise Hwy Ste 303, Valley Stream, NY 11581-1328 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1073128971 | New York Vascular Group, Pllc | Surgery | 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 | 2020-09-09 |
| 1578190179 | Camilo Jose Martinez | Surgery | 23 S Howell Ave Ste H, Centereach, NY 11720-4445 | 2020-03-24 |
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 1487287975 | Syracuse Professional Medical Services of New York LLC | Surgery | 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 | 2020-02-13 |
| 1457983181 | Syracuse Medical of New York LLC | Surgery | 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 | 2020-02-11 |
| 1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
| 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 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY STREAM |
| Zip Code | 11581 |
Please comment or provide details below to improve the information on VALLEY STREAM PROFESSIONAL MEDICAL SERVICES, LLC.
| 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.