Amy R Benenson, MSPAS, PA-C
Physician Assistant, Medical in Willimantic, Connecticut
1427788009- Practice location
- 289 Windham RD, Willimantic, CT 06226-3528
- Phone
- 860-343-0302
- Fax
- —
- Last updated
- January 4, 2024
Amy Rose Benenson is a Physician Assistant, Medical based in Willimantic, CT. Amy Rose Benenson practices in Willimantic, CT and has the professional credentials of MSPAS, PA-C. The NPI Number for Amy Rose Benenson is 1427788009 and holds a License No. PA01468 (RI). The current practice location address for Amy Rose Benenson is 289 Windham RD, Willimantic, CT 06226-3528 and can be reached out via phone at 860-343-0302.
Provider Profile Details
- NPI Number
- 1427788009
- Provider Name
- Amy Rose Benenson
- Credential
- MSPAS, PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 289 Windham RD, Willimantic, CT 06226-3528
- Phone Number
- 860-343-0302
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 15, 2022
- Last Update Date
- January 4, 2024
- Certification Date
- January 4, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 289 Windham RD
Willimantic, CT 06226-3528 - City
- Willimantic
- State
- Connecticut
- Zip
- 06226-3528
- Phone Number
- 860-343-0302
Provider Business Mailing Address Details
- Address
- 302 Fieldstone
Ledyard, CT 06339-1250 - City
- Ledyard
- State
- CT
- Zip
- 06339-1250
- Phone Number
- 516-304-8956
License Information
- License Number (1)
- PA01468
- License State (1)
- RI
- Taxonomy (1)
- Family Medicine, Addiction Medicine · 207QA0401X
- License Number (2)
- 5717
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Amy R Benenson, MSPAS, PA-C?
The NPI number of Amy R Benenson, MSPAS, PA-C is 1427788009. It was assigned on June 15, 2022 and is currently active in the NPPES registry.
What is the specialty of Amy R Benenson, MSPAS, PA-C?
Amy R Benenson, MSPAS, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in RI under license number PA01468.
Where does Amy R Benenson, MSPAS, PA-C practice?
The practice location is 289 Windham RD, Willimantic, CT 06226-3528. The office can be reached at 860-343-0302 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427788009 directly on the NPPES registry website.