Individual provider · Type 1 NPI
Agathae Grace Benetatos, RPAC
Medical Physician Assistant · Staten Island, NY
NPI number
1043496763
Active
Practice location
410 Maryland Ave, 3D
Staten Island, NY 10305-2973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 004994 (NY) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1043496763
Agathae Grace Benetatos, RPAC's National Provider Identifier is 1043496763, issued on Jan 11, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Staten Island, NY. The record was last updated on Jan 11, 2008.