Individual provider · Type 1 NPI
Michael John Prestreau, PA-C
Surgical Physician Assistant · New Haven, CT
NPI number
1427650118
Active
Practice location
1 Long Wharf Dr
New Haven, CT 06511-5991
Mailing address
1303 Leland Dr
Yorktown Heights, NY 10598-3621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 4960 (CT) |
| Medical Physician Assistant | 363AM0700X | 4960 (CT) |
| Surgical Physician Assistant Primary | 363AS0400X | 4960 (CT) |
Surgical Physician Assistant: Definition to come...
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About NPI 1427650118
Michael John Prestreau, PA-C's National Provider Identifier is 1427650118, issued on Nov 9, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Haven, CT. The record was last updated on Feb 3, 2021.