Provider Demographics
NPI:1598993396
Name:MENSAH, JOSEPHINE KORLEI (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPHINE KORLEI
Middle Name:
Last Name:MENSAH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:793 HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-4915
Mailing Address - Country:US
Mailing Address - Phone:914-474-5788
Mailing Address - Fax:
Practice Address - Street 1:793 HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-4915
Practice Address - Country:US
Practice Address - Phone:914-474-5788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0550761223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry