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Individual

BENJAMIN MEDRANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1901 1ST AVE, NEW YORK, NY 10029
(212) 423-8700
Mailing address
1901 1ST AVE, NEW YORK, NY 10029-7494
(212) 423-8700

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
284877-1
NY

Other

Enumeration date
05/08/2014
Last updated
02/05/2026
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