Benetatos, Agathae Grace

Benetatos, Agathae Grace is an individual health care provider with primary practice located at 410 Maryland Ave 3D, Staten Island NY 10305-2973. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Benetatos, Agathae Grace can be contacted via phone (718) 816-5601.

Contact Information

Primary practice address
410 Maryland Ave 3D Staten Island NY 10305-2973
Phone: (718) 816-5601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 004994 New York

Profile Details

NPI number 1043496763
LBN Legal business name Benetatos, Agathae Grace
Credentials RPAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2008
Last updated Jan 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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