OrganizationActive
Fordham Professional Medical Services of New York LLC
NPI 1124524970 · Vascular Surgery Physician · Bronx, NY
Provider details
- NPI number
- 1124524970
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yan Katsnelson, Owner(224) 318-0118
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11 E Fordham Rd Ste a
Bronx, NY 10468-5406
Phone: (847) 593-8460
Fax: (224) 235-4652
Street-level locationGet directions
Mailing address
304 Wainwright Dr Ste 110
Northbrook, IL 60062-1919
Registry dates
- Enumerated
- 2018-04-02
- Last updated
- 2018-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.