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NPI Verification

National Provider Identifier: 1427788009

Amy Rose Benenson, Mspas, PA-C

Individual Provider

Credentials

MSPAS, PA-C

Primary Specialty

Physician Assistant, Medical

Code: 363AM0700X

All Specialties (2)

Family Medicine, Addiction Medicine

Code: 207QA0401X

Physician Assistant, Medical

Code: 363AM0700X

Primary

Practice Address

302 FIELDSTONE

LEDYARD, CT 063391250

Phone: 516-304-8956

NPI Enumeration Date

June 15, 2022

NPI Number

1427788009

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry