Healthcare Provider Details

I. General information

NPI: 1003493149
Provider Name (Legal Business Name): MELANIE YOKO BENES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELANIE YOKO BROWN MD

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1090 AMSTERDAM AVENUE SUITE 16A, 16TH FLOOR
NEW YORK NY
10025
US

IV. Provider business mailing address

1090 AMSTERDAM AVENUE SUITE 16A, 16TH FLOOR
NEW YORK NY
10025
US

V. Phone/Fax

Practice location:
  • Phone: 212-523-5089
  • Fax:
Mailing address:
  • Phone: 212-523-5089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number322112
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: