National Provider Identifier
Mia Menassa, M.A., MSC.
Mia Menassa, M.A., MSC. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-3563.
Profile Overview
- NPI
- 1467256180
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 02, 2025
- Last Updated
- April 16, 2025
Practice Location
- 300 Crittenden Blvd
- Rochester, NY 14642-0001
Phone: (585) 275-3563
Mailing Address
- 590 Gundersen Dr Apt 207
- Carol Stream, IL 60188-2660
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1467256180
- Entity Type
- Individual
- Last Name
- Menassa
- First Name
- Mia
- Credential
- M.A., MSC.
- Mailing Street Address
- 590 Gundersen Dr Apt 207
- Mailing City
- Carol Stream
- Mailing State
- IL
- Mailing ZIP Code
- 60188-2660
- Mailing Country
- US
- Mailing Phone
- (331) 806-6252
- Practice Street Address
- 300 Crittenden Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-3563
- Enumeration Date
- April 02, 2025
- Last Updated
- April 16, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 16, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)