# PREMIER GASTROENTEROLOGY & ENDOSCOPY PLLC

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

## Provider details

- **NPI number:** 1720378318
- **Authorized official:** CHANG HO SUK M.D. (PRESIDENT)
- **Authorized official phone:** (718) 461-6212

## Contact information

- **Practice address:** 41-61 KISSENA BLVD., FLUSHING, NY 11355
- **Practice address phone:** (718) 461-6212
- **Practice address fax:** (718) 539-1238
- **Mailing address:** 41-61 KISSENA BLVD., FLUSHING, NY 11355
- **Mailing address phone:** (718) 461-6212
- **Mailing address fax:** (718) 539-1238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 151095 | NY | Yes |

## Other

- **Enumeration date:** 04/15/2011
- **Last updated:** 04/15/2011