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General NPI Number Information
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NPI Number | 1104911197
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Entity Type | Individual
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Provider Name | SETH MENSAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 1335 PORTLAND AVE
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City | ROCHESTER
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State | NY
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Zip | 14621-2706
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Country | US
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Telephone | 609-585-1122
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Fax | 609-585-0309
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Provider Business Mailing Address
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Address Line | PO BOX 7411009
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City | CHICAGO
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State | IL
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Zip | 60674-3009
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Country | US
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Telephone | 609-585-1122
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 240453
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License Number State | NY
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