Organization
REGO PARK ENDO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER INGRAM (MEMBER)
(718) 310-3904
Entity
Organization
Contact information
Practice address
9901 QUEENS BLVD FL 2, REGO PARK, NY 11374-4512
(267) 455-4855
Mailing address
9901 QUEENS BLVD FL 2, REGO PARK, NY 11374-4512
(718) 310-3904
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/21/2026
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