# GAMMA MEDICAL DIAGNOSTIC, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932206893
- **Authorized official:** DR. ILYA Y BURSHTEYN MD (PRESIDENT)
- **Authorized official phone:** (718) 261-1043

## Contact information

- **Practice address:** 10915 QUEENS BLVD STE 1P, FOREST HILLS, NY 11375-5482
- **Practice address phone:** (718) 261-1043
- **Practice address fax:** (718) 261-1017
- **Mailing address:** 10915 QUEENS BLVD STE 1P, FOREST HILLS, NY 11375-5482
- **Mailing address phone:** (718) 261-1043
- **Mailing address fax:** (718) 261-1017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020