Organization
PREMIER GASTROENTEROLOGY & ENDOSCOPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANG HO SUK M.D. (PRESIDENT)
(718) 461-6212
Entity
Organization
Contact information
Practice address
41-61 KISSENA BLVD., FLUSHING, NY 11355
(718) 461-6212
(718) 539-1238
Mailing address
41-61 KISSENA BLVD., FLUSHING, NY 11355
(718) 461-6212
(718) 539-1238
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
151095
NY
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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