Individual
MICHAEL JOHN PRESTREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(203) 688-8800
Mailing address
1303 LELAND DR, YORKTOWN HEIGHTS, NY 10598-3621
(914) 299-6248
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4960
CT
363AM0700X
Medical Physician Assistant
4960
CT
363AS0400X
Surgical Physician Assistant
Primary
4960
CT
Other
Enumeration date
11/09/2020
Last updated
02/03/2021
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