Provider Demographics
NPI:1851615314
Name:MENSAH, ANDREWS ADDAI (PHARMD,RPH)
Entity Type:Individual
Prefix:DR
First Name:ANDREWS
Middle Name:ADDAI
Last Name:MENSAH
Suffix:
Gender:M
Credentials:PHARMD,RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2767 MARION AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-3744
Mailing Address - Country:US
Mailing Address - Phone:917-499-4234
Mailing Address - Fax:
Practice Address - Street 1:3085 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-5720
Practice Address - Country:US
Practice Address - Phone:718-863-2677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20 053347183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist