Organization
PREMIER ENDOSCOPY SUITES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJIV BANSAL M.D. (OWNER)
(718) 409-2902
Entity
Organization
Contact information
Practice address
3620 E TREMONT AVE, SUITE 104, BRONX, NY 10465-2038
(718) 409-2902
Mailing address
3620 E TREMONT AVE, SUITE 104, BRONX, NY 10465-2038
(718) 409-2902
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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