Provider Demographics
NPI:1891055158
Name:VEIN CLINICS OF BOSTON LLC
Entity Type:Organization
Organization Name:VEIN CLINICS OF BOSTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KATSNESLSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-391-6900
Mailing Address - Street 1:PO BOX 353
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60065-0353
Mailing Address - Country:US
Mailing Address - Phone:847-593-8460
Mailing Address - Fax:888-621-3330
Practice Address - Street 1:1208B VFW PKWY STE 300
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02132-4350
Practice Address - Country:US
Practice Address - Phone:617-391-6900
Practice Address - Fax:617-391-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty