London Medical Diagnostic Pc

LBN: London Medical Diagnostic Pc
London Medical Diagnostic Pc is an health care organization with primary practice located at 10525 64Th Ave , Forest Hills NY 11375-1640. The organization recently has 6 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. London Medical Diagnostic Pc can be contacted via phone (718) 459-3494, or through Burshteyn, Ilya Y via phone (718) 459-3494.

Contact Information

Primary practice address
10525 64Th Ave Forest Hills NY 11375-1640
Phone: (718) 459-3494
Fax: (718) 606-6069
Website:
Map and Directions
Authorized official contact:
Name: Burshteyn, Ilya Y Doctor of Medicine (MD)
Phone: (718) 459-3494

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 215638 New York
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1407002702
LBN Legal business name London Medical Diagnostic Pc
DBA Doing business as
Authorized official Burshteyn, Ilya Y Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2008
Last updated Jun 19th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407002702 NPPES
New York MEDICAID 03272777

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