Provider Demographics
NPI:1437772209
Name:CESAIRE-BENJAMIN, AMELIE M (AMELIE)
Entity Type:Individual
Prefix:
First Name:AMELIE
Middle Name:M
Last Name:CESAIRE-BENJAMIN
Suffix:
Gender:F
Credentials:AMELIE
Other - Prefix:
Other - First Name:AMELIE
Other - Middle Name:MARIE
Other - Last Name:CESAIRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1870 E 51ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3810
Mailing Address - Country:US
Mailing Address - Phone:646-348-4265
Mailing Address - Fax:
Practice Address - Street 1:1870 E 51ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3810
Practice Address - Country:US
Practice Address - Phone:718-541-6598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY478393163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse