Provider Demographics
NPI:1316044357
Name:ESSIG, MITCHELL NEIL
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:NEIL
Last Name:ESSIG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 MADISON AVE
Mailing Address - Street 2:MIDTOWN REPRODUCTIVE MEDICINE STE 4SW
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5421
Mailing Address - Country:US
Mailing Address - Phone:212-779-8576
Mailing Address - Fax:212-779-9174
Practice Address - Street 1:161 MADISON AVE
Practice Address - Street 2:MIDTOWN REPRODUCTIVE MEDICINE STE 4SW
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5421
Practice Address - Country:US
Practice Address - Phone:212-779-8576
Practice Address - Fax:212-779-9174
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129647174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY134008768OtherEMPIRE HEALTH PLAN
NY0795886OtherCIGNA
NY134008768OtherONE HEALTH
NY0203592OtherGHI
NY134008768OtherMAGNACARE
NY134008768OtherPHCS
NYME051A33OtherBCBS
NY129647OtherHIP
NY1309765OtherUNITED HEALTHCARE
NY134008768OtherMULTIPLAN
NY134008768OtherHORIZON NJ
NY2121104OtherAETNA HEALTH PLANS
NY0M1695OtherHEALTHNET
NY134008768OtherHORIZON NY
NYNS2073OtherOXFORD HEALTH PLANS
NY37349OtherVYTRA
NY134008768OtherBEECHSTREET
NY0795886OtherCIGNA
NY51A331Medicare ID - Type Unspecified