London Medical Diagnostic Pc in Forest Hills - Specialist

London Medical Diagnostic Pc - NPI 1407002702

London Medical Diagnostic Pc is a Specialist in Forest Hills, New York. London Medical Diagnostic Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for London Medical Diagnostic Pc is 1407002702. The last update date is 2023-06-19.

London Medical Diagnostic Pc's current location address is 10525 64th Ave, Forest Hills, New York. You can contact this provider via phone number 7184593494 and fax number 7186066069. The mailing address for London Medical Diagnostic Pc is 10525 64th Ave, Forest Hills, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization London Medical Diagnostic Pc
Address 10525 64th Ave, Forest Hills, New York
Phone Number 7184593494
Fax Number 7186066069
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MD/CEO
Authorized Official Name Burshteyn Y Ilya
Credentials MD
Telephone Number 7184593494

NPI Number Detail

NPI Number 1407002702
Provider Enumeration Date 2008-08-18
Last Updated Date 2023-06-19

Provider Mailing Address Detail

Address 10525 64th Ave
City Forest Hills
State New York (NY)
Post Code 113751640
Phone Number 7184593494
Fax Number 7186066069

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 215638
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3272777 NY --

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FAQs about London Medical Diagnostic Pc

What is the London Medical Diagnostic Pc's unique identification number?

The London Medical Diagnostic Pc has been assigned the NPI (National Provider Identifier) Number 1407002702 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where London Medical Diagnostic Pc is physically located?

The London Medical Diagnostic Pc is physically situated at the following address: 10525 64Th Ave, Forest Hills, NY, 113751640.

What is the London Medical Diagnostic Pc's specialty and taxonomy code?

The London Medical Diagnostic Pc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

When was the London Medical Diagnostic Pc's 1407002702 issued?

The London Medical Diagnostic Pc's 1407002702 was issued on 2008-08-18.

When was the information related to London Medical Diagnostic Pc most recently updated or refreshed?

The details pertaining to the London Medical Diagnostic Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-06-19.

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