MEDICARE: DR. MELISSA MURA HENSLEY M.D.

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	2083P0901X	Public Health & General Preventive Medicine Physician	291162	NY

General Provider Information

NPI Number	:	1982963849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA MURA HENSLEY M.D.

Provider Business Mailing Address
First Line	:	1732 SOUTH AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14620-4238
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1732 SOUTH AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14620-4238
Country	:	US
Telephone Number	:	585-461-0410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2012
Last Update Date	:	03/17/2026

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