Healthcare Provider Details
I. General information
NPI: 1366418709
Provider Name (Legal Business Name): ESSEN MEDICAL ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2006
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2015 GRAND CONCOURSE
BRONX NY
10453-4303
US
IV. Provider business mailing address
2626 HALPERIN AVE
BRONX NY
10461-2631
US
V. Phone/Fax
- Phone: 718-583-7736
- Fax: 718-537-6180
- Phone: 718-618-0401
- Fax: 347-479-1303
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUMIR
SAHGAL
Title or Position: OWNER OF CORP
Credential: MD
Phone: 718-618-0401