Organization
ESSEN MEDICAL ASSOCIATES,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANSI AGGARWAL (ADMINISTRATOR)
(718) 731-2020
Entity
Organization
Contact information
Practice address
1181 GRAND CONCOURSE, BRONX, NY 10452-8503
(718) 681-6565
(718) 681-1201
Mailing address
1434 WILLIAMSBRIDGE RD FL 2, BRONX, NY 10461-2507
(718) 618-0401
(347) 479-1303
Taxonomy
Speciality
Code
Description
License number
State
209800000X
Legal Medicine (M.D./D.O.) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02880591
—
NY
01
—
W34691
MEDICARE ID
—
Enumeration date
02/22/2008
Last updated
10/19/2020
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