Organization
INTEGRATED REPRODUCTIVE SURGERY LLC
Active
Other names
Esse Care and Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON PROVOST (COO)
(832) 515-6129
Entity
Organization
Contact information
Practice address
779 NORTH ST, GREENWICH, CT 06831-3105
(646) 844-9602
Mailing address
204 CORLIES AVE, PELHAM, NY 10803-1904
(646) 844-9602
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235574559
NPI
NY
01
—
1538393194
NPI
NY
Enumeration date
05/24/2023
Last updated
05/28/2025
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