MEDICARE: ESSEN MEDICAL ASSOCIATES, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1548971971
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSEN MEDICAL ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	2626 HALPERIN AVE FL 1
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2631
Country	:	US
Telephone Number	:	718-618-0401
Fax Number	:

Provider Business Practice Location Address
First Line	:	828 E 149TH ST STE A
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-4670
Country	:	US
Telephone Number	:	718-618-0401
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SUMIR P SAHGAL
Credential	:	MD
Telephone Number	:	718-731-2020

Provider Enumeration Date	:	12/06/2022
Last Update Date	:	12/06/2022

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