Organization
ESSE INTEGRATED REPRODUCTIVE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON PROVOST (COO)
(914) 546-3461
Entity
Organization
Contact information
Practice address
535 5TH AVE FL 29, NEW YORK, NY 10017-3671
(646) 844-9602
Mailing address
204 CORLIES AVE, PELHAM, NY 10803-1904
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
02/04/2026
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