Individual provider · Type 1 NPI

Marykate Pestana

Surgical Physician Assistant · Waterbury, CT

NPI number 1356035877 Active

Practice location

56 Franklin St Ste 1
Waterbury, CT 06706-1281

Mailing address

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337

Other practice locations

  • 399 Farmington Ave Ste 210, Farmington, CT 06032-1944 · (860) 548-7338
  • 765 W Johnson Ave Ste 202, Cheshire, CT 06410-1134 · (860) 223-0800
  • 201 N Mountain Rd Ste 201, Plainville, CT 06062-1848 · (860) 223-0800

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1356035877

Marykate Pestana's National Provider Identifier is 1356035877, issued on Jun 7, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Waterbury, CT. The record was last updated on Nov 1, 2026.