AGATHAE GRACE BENETATOS

STATEN ISLAND, NY
NPI1043496763
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  004994)
Enumeration Date2008-01-11
Last Update Date2008-01-11
Business Address
Ms. AGATHAE GRACE BENETATOS RPAC
410 MARYLAND AVE 3D
STATEN ISLAND, NY 10305-2973
Phone number: 718-816-5601
Mailing Address
Ms. AGATHAE GRACE BENETATOS RPAC
410 MARYLAND AVE 3D
STATEN ISLAND, NY 10305-2973
Phone number:
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