National Provider Identifier
Mongkae Siripornsawan, MD
Mongkae Siripornsawan, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Rochester, NY and a listed phone number of (585) 275-4501.
Profile Overview
- NPI
- 1922237221
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- July 08, 2009
- Last Updated
- July 06, 2023
Practice Location
- 601 Elmwood Avenue Box Psych
- Rochester, NY 14642-0001
Phone: (585) 275-4501
Specialties
- Psychiatry Physician (2084P0800X)
- Child & Adolescent Psychiatry Physician (2084P0804X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Endpoints
- msiripornsawan73661@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1922237221
- Entity Type
- Individual
- Last Name
- Siripornsawan
- First Name
- Mongkae
- Credential
- MD
- Mailing Street Address
- 601 Elmwood Avenue Box Psych
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-4501
- Practice Street Address
- 601 Elmwood Avenue Box Psych
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-4501
- Enumeration Date
- July 08, 2009
- Last Updated
- July 06, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 23, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X), Child & Adolescent Psychiatry Physician (2084P0804X), Student in an Organized Health Care Education/Training Program (390200000X)