National Provider Identifier
Mindset Life LLC
Mindset Life LLC is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 820-9151.
Profile Overview
- NPI
- 1669972683
- Provider Type
- Organization
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- February 16, 2018
- Last Updated
- June 11, 2019
Practice Location
- 33 Pearl St
- Rochester, NY 14607-3532
Phone: (585) 820-9151
Specialties
- Internal Medicine Physician (207R00000X)
- Mental Health Counselor (101YM0800X)
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1669972683
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Mindset Life LLC
- Mailing Street Address
- 33 Pearl St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-3532
- Mailing Country
- US
- Mailing Phone
- (585) 820-9151
- Practice Street Address
- 33 Pearl St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-3532
- Practice Country
- US
- Practice Phone
- (585) 820-9151
- Enumeration Date
- February 16, 2018
- Last Updated
- June 11, 2019
- Authorized Official Last Name
- Cohen
- Authorized Official First Name
- Benjamin
- Authorized Official Middle Name
- Lee
- Authorized Official Title
- Owner
- Authorized Official Phone
- (585) 820-9151
- Organization Subpart
- No
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Taxonomy Group 2
- 193200000X Multi-Specialty Group
- Taxonomy Group 3
- 193200000X Multi-Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Mental Health Counselor (101YM0800X), Registered Dietitian (133V00000X)