Provider Demographics
NPI:1306935747
Name:MENSAH, SARAH M (RPA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:MENSAH
Suffix:
Gender:F
Credentials:RPA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:M
Other - Last Name:BATTLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1255 PORTLAND AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-2713
Mailing Address - Country:US
Mailing Address - Phone:585-339-2080
Mailing Address - Fax:
Practice Address - Street 1:1255 PORTLAND AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-2713
Practice Address - Country:US
Practice Address - Phone:585-342-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10755363A00000X
NY010755363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPA1147Medicare PIN
NYQ57595Medicare UPIN