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

TaxonomyCodeLicense
Physician Assistant 363A00000X4960 (CT)
Medical Physician Assistant 363AM0700X4960 (CT)
Surgical Physician Assistant Primary 363AS0400X4960 (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.