# NORTH SHORE ENDOSCOPIC ULTRASOUND, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194878967
- **Authorized official:** RAJIV BANSAL MD (OWNER)
- **Authorized official phone:** (516) 437-6900

## Contact information

- **Practice address:** 2001 MARCUS AVE, SUITE N218, NEW HYDE PARK, NY 11042-1011
- **Practice address phone:** (516) 437-6900
- **Practice address fax:** (516) 437-6904
- **Mailing address:** 2001 MARCUS AVE, SUITE N218, NEW HYDE PARK, NY 11042-1011
- **Mailing address phone:** (516) 437-6900
- **Mailing address fax:** (516) 437-6904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 203665 | NY | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020