# QUEENS ENDOSCOPY ASC, LLC

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

## Provider details

- **NPI number:** 1780935528
- **Authorized official:** LESLIE HERNANDEZ (CEO)
- **Authorized official phone:** (718) 425-3300

## Contact information

- **Practice address:** 17660 UNION TPKE, FRESH MEADOWS, NY 11366-1526
- **Practice address phone:** (718) 425-3300
- **Practice address fax:** (718) 820-0610
- **Mailing address:** 2500 YORK RD STE 300, JAMISON, PA 18929-1098
- **Mailing address phone:** (215) 589-9024
- **Mailing address fax:** (833) 705-6301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NY | Yes |

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 10/29/2025