| Gamma Medical Diagnostic, Pc | |
|
10915 Queens Blvd Ste 1p Forest Hills NY 11375-5482 | |
| (718) 261-1043 | |
| (718) 261-1017 |
| Full Name | Gamma Medical Diagnostic, Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 10915 Queens Blvd Ste 1p, Forest Hills, New York |
| Authorized Official Name and Position | Ilya Y Burshteyn (PRESIDENT) |
| Authorized Official Contact | 7182611043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gamma Medical Diagnostic, Pc 10915 Queens Blvd Ste 1p Forest Hills NY 11375-5482 Ph: (718) 261-1043 | Gamma Medical Diagnostic, Pc 10915 Queens Blvd Ste 1p Forest Hills NY 11375-5482 Ph: (718) 261-1043 |
| NPI Number | 1932206893 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932206893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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