# ESOPUS MEDICAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295701787
- **Authorized official:** MONIKA R.A. MOMMSEN MD (PRESIDENT)
- **Authorized official phone:** (845) 658-7763

## Contact information

- **Practice address:** 105 WOODCREST DR, RIFTON, NY 12471-7200
- **Practice address phone:** (845) 658-7763
- **Mailing address:** 10 HELLBROOK LN, ULSTER PARK, NY 12487-5209
- **Mailing address phone:** (845) 658-7763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 52862 | NY | Yes |

## Other

- **Enumeration date:** 02/24/2006
- **Last updated:** 10/10/2022