Healthcare Provider Details

I. General information

NPI: 1306935747
Provider Name (Legal Business Name): SARAH M MENSAH R.P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH M BATTLES

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 PORTLAND AVE 2ND FLOOR
ROCHESTER NY
14621-2713
US

IV. Provider business mailing address

1255 PORTLAND AVE 2ND FLOOR
ROCHESTER NY
14621-2713
US

V. Phone/Fax

Practice location:
  • Phone: 585-342-8700
  • Fax:
Mailing address:
  • Phone: 585-339-2080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10755
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number010755
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: