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General NPI Number Information
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NPI Number | 1568098523
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Entity Type | Organization
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Legal Business Name | PROCEDURE ENDOSCOPY SERVICES PLLC
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Dates
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Enumeration Date | 03/20/2020
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 305 SEGUINE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10309-3709
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Country | US
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Telephone | 718-605-5000
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Fax | 718-605-5004
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Provider Business Mailing Address
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Address Line | PO BOX 413
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City | HOLMDEL
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State | NJ
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Zip | 07733-0413
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Country | US
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Telephone | 718-605-5000
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Fax | 718-605-5004
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Authorized Official
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Title or Position | OWNER
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Name | KIRANPREET PARMAR
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Credential | MD
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Telephone | 347-528-4384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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