Organization
PREMIER BARIATRIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE LEE (CREDENTIALING MANAGER)
(516) 616-5500
Entity
Organization
Contact information
Practice address
2001 W MAIN ST, STAMFORD, CT 06902-4501
(516) 616-5500
(888) 502-6582
Mailing address
125 MINEOLA AVE STE 200, ROSLYN HEIGHTS, NY 11577-2042
(516) 616-5500
(888) 502-6582
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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