Provider Demographics
NPI:1003023912
Name:MIDTOWN REPRODUCTIVE MEDICINE,PC
Entity Type:Organization
Organization Name:MIDTOWN REPRODUCTIVE MEDICINE,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-779-8576
Mailing Address - Street 1:161 MADISON AVE RM 4SW
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5459
Mailing Address - Country:US
Mailing Address - Phone:212-779-8576
Mailing Address - Fax:212-779-9174
Practice Address - Street 1:161 MADISON AVE RM 4SW
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5459
Practice Address - Country:US
Practice Address - Phone:212-779-8576
Practice Address - Fax:212-779-9174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129647207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY51A331Medicare ID - Type Unspecified