Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Agathae Grace Benetatos, RPAC

Individual provider Medical Physician Assistant · NPI 1043496763

MS. Agathae Grace Benetatos, RPAC is a Medical Physician Assistant in Staten Island, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

410 Maryland Ave 3D
Staten Island, NY 10305-2973
Phone: (718) 816-5601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 004994 (NY)

Record details

NPI number1043496763
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPAC
Sole proprietorNo
NPI enumeratedJanuary 11, 2008
Last updated in NPPESJanuary 11, 2008

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