Provider Demographics
NPI:1972821585
Name:BRONX ENDOSCOPY LLC
Entity type:Organization
Organization Name:BRONX ENDOSCOPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:PROF
Authorized Official - First Name:MEIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-231-4443
Mailing Address - Street 1:6740 W DEER VALLEY RD
Mailing Address - Street 2:STE. D 107-255
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85310-5953
Mailing Address - Country:US
Mailing Address - Phone:602-298-2653
Mailing Address - Fax:602-298-2686
Practice Address - Street 1:3584 JEROME AVENUE
Practice Address - Street 2:BRONX ENDOSCOPY
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-231-4443
Practice Address - Fax:718-708-4821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy