Organization
PREMIER ENDOSCOPY SUITES PC
Active
Organization
PREMIER ENDOSCOPY SUITES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIV BANSAL MD (OWNER)
(516) 437-6900
Entity
Organization
Contact information
Practice address
2 POLO DR, OLD WESTBURY, NY 11568-1043
(516) 437-6900
(516) 437-6904
Mailing address
3620 E TREMONT AVE, SUITE 101, BRONX, NY 10465-2038
(718) 409-2902
(718) 409-2919
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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