Healthcare Provider Details

I. General information

NPI: 1104711761
Provider Name (Legal Business Name): ESSNYC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 LINCOLN AVE
SAYVILLE NY
11782-1404
US

IV. Provider business mailing address

319 E 24TH ST APT 5B
NEW YORK NY
10010-4038
US

V. Phone/Fax

Practice location:
  • Phone: 631-478-8357
  • Fax: 212-504-2697
Mailing address:
  • Phone: 917-363-8618
  • Fax: 212-504-2697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: ALLEN BRACKETT
Title or Position: ADMINISTRATOR
Credential:
Phone: 917-363-8618