Organization
GAMMA MEDICAL DIAGNOSTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA Y BURSHTEYN MD (PRESIDENT)
(718) 261-1043
Entity
Organization
Contact information
Practice address
10915 QUEENS BLVD STE 1P, FOREST HILLS, NY 11375-5482
(718) 261-1043
(718) 261-1017
Mailing address
10915 QUEENS BLVD STE 1P, FOREST HILLS, NY 11375-5482
(718) 261-1043
(718) 261-1017
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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