MEDICARE: JOANA EFFIE MENSAH-MITCHELL NP

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	207Q00000X	Family Medicine Physician	F344171-1	NY
2	363LF0000X	Family Nurse Practitioner	F344171-1	NY

General Provider Information

NPI Number	:	1962064451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANA EFFIE MENSAH-MITCHELL NP

Provider Business Mailing Address
First Line	:	3329 CORSA AVE APT 2
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-2810
Country	:	US
Telephone Number	:	347-615-9040
Fax Number	:

Provider Business Practice Location Address
First Line	:	1381 WHITE PLAINS RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-4101
Country	:	US
Telephone Number	:	718-892-5500
Fax Number	:

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

Provider Enumeration Date	:	07/03/2019
Last Update Date	:	02/13/2025

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