MS. AGATHAE GRACE BENETATOS RPAC NPI 1043496763

NPI Information

  • NPI: 1043496763
  • Provider Name: MS. AGATHAE GRACE BENETATOS, RPAC
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 410 MARYLAND AVE
    3D
    STATEN ISLAND, NY
    ZIP 10305
  • Phone: (718) 816-5601

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NPI Details

MS. Agathae Grace Benetatos, RPAC is a medical physician assistant in Staten Island, NY. MS. Agathae Grace Benetatos, RPAC NPI is 1043496763. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

410 MARYLAND AVE
3D
STATEN ISLAND, NY
ZIP 10305-973
Phone: (718) 816-5601

The enumeration date for this NPI number is 1/11/2008 and was last updated on 1/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical004994NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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