Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

London Medical Diagnostic PC

Organization Specialist · NPI 1407002702

London Medical Diagnostic PC is a Specialist in Forest Hills, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2008
Specialties on file
7
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10525 64th Ave
Forest Hills, NY 11375-1640
Phone: (718) 459-3494
Fax: (718) 606-6069
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1401 Ocean Ave Ste Ld, Brooklyn, NY 11230-3998 — (718) 513-4455

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Specialist Taxonomy 174400000X · Licence 215638 (NY)
Specialist Taxonomy 174400000X
Podiatrist Taxonomy 213E00000X
Physical Therapist Taxonomy 225100000X
Medical Physician Assistant Taxonomy 363AM0700X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1407002702
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ilya Burshteyn — Md/Ceo · (718) 459-3494
NPI enumeratedAugust 18, 2008
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023
Mailing address10525 64th Ave, Forest Hills, NY 11375-1640

Other providers in Forest Hills