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

Omicron Medical PC

Organization Internal Medicine Physician · NPI 1538696372

Omicron Medical PC is an Internal Medicine Physician in Forest Hills, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10525 64th Ave
Forest Hills, NY 11375-1640
Phone: (718) 459-3494
Fax: (718) 606-6069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2156381 (NY)
Podiatrist Taxonomy 213E00000X · Licence N0060751 (NY)

Record details

NPI number1538696372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ilya Burshteyn — Md · (718) 459-3494
NPI enumeratedMay 11, 2017
Last updated in NPPESMay 11, 2017
Mailing address10525 64th Ave, Forest Hills, NY 11375-1640

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