# PREMIER ENDOSCOPY SUITES PC

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

## Provider details

- **NPI number:** 1932644531
- **Authorized official:** DR. RAJIV BANSAL M.D. (OWNER)
- **Authorized official phone:** (718) 409-2902

## Contact information

- **Practice address:** 3620 E TREMONT AVE, SUITE 104, BRONX, NY 10465-2038
- **Practice address phone:** (718) 409-2902
- **Mailing address:** 3620 E TREMONT AVE, SUITE 104, BRONX, NY 10465-2038
- **Mailing address phone:** (718) 409-2902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/05/2017
- **Last updated:** 01/05/2017