MS. AGATHAE GRACE BENETATOS RPAC
NPI 1043496763
Physician Assistant - Medical in Staten Island, NY

Q: What is Agathae Benetatos's NPI number?

The NPI number for Agathae Benetatos is 1043496763. It was assigned to this individual provider in the NPPES registry on January 11, 2008.

Q: What is Agathae Benetatos's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Agathae Benetatos was last updated on January 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 11, 2008

410 MARYLAND AVE, 3D, STATEN ISLAND, NY 10305(718) 816-5601 Get Directions Write a Review

NPPES record last updated: January 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Agathae Grace Benetatos Rpac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AGATHAE GRACE BENETATOS RPAC (NPI 1043496763) is an individual medical provider in Staten Island, New York, licensed in New York (004994) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1043496763

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. AGATHAE GRACE BENETATOSCredential: RPAC

Location Address410 MARYLAND AVE, 3DStaten Island, NY 10305-2973

Mailing Address410 Maryland Ave, 3dStaten Island, NY 10305-2973

Phone(718) 816-5601

Sole ProprietorNo

Enumeration DateJanuary 11, 2008

✔ NPI 1043496763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 004994

410 MARYLAND AVE, Staten Island, NY 10305

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JULIA GLAIZER MSED

Specialist

410 MARYLAND AVE, #2C
STATEN ISLAND, NY 10305

Richmond County (718) 864-0430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agathae Benetatos's NPI number?

The NPI number for Agathae Benetatos is 1043496763. It was assigned to this individual provider in the NPPES registry on January 11, 2008.

Where is Agathae Benetatos located?

Agathae Benetatos practices at 410 Maryland Ave 3D, Staten Island, NY 10305. The listed phone number is (718) 816-5601.

What is Agathae Benetatos's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Agathae Benetatos was last updated on January 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.