| Premier Gastroenterology & Endoscopy PLLC | |
|
41-61 Kissena Blvd. Flushing NY 11355 | |
| (718) 461-6212 | |
| (718) 539-1238 |
| Full Name | Premier Gastroenterology & Endoscopy PLLC |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 41-61 Kissena Blvd., Flushing, New York |
| Authorized Official Name and Position | Chang Ho Suk (PRESIDENT) |
| Authorized Official Contact | 7184616212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Gastroenterology & Endoscopy PLLC 41-61 Kissena Blvd. Flushing NY 11355 Ph: (718) 461-6212 | Premier Gastroenterology & Endoscopy PLLC 41-61 Kissena Blvd. Flushing NY 11355 Ph: (718) 461-6212 |
| NPI Number | 1720378318 |
|---|---|
| Provider Enumeration Date | 04/15/2011 |
| Last Update Date | 04/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720378318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 151095 (New York) | Primary |
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