Active NPIIndividual provider

Michaila M Traceski, PA

Physician Assistant in Stamford, Connecticut

NPI Number1356077135
Practice location
1180 Newfield Ave, Stamford, CT 06905-1409
Fax
—
Last updated
May 29, 2024

Michaila Marie Traceski is a Physician Assistant based in Stamford, CT. Michaila Marie Traceski practices in Stamford, CT and has the professional credentials of PA. The NPI Number for Michaila Marie Traceski is 1356077135 and holds a License No. 2034 (NH). The current practice location address for Michaila Marie Traceski is 1180 Newfield Ave, Stamford, CT 06905-1409 and can be reached out via phone at 314-888-5233.

Provider Profile Details

NPI Number
1356077135
Provider Name
Michaila Marie Traceski
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1180 Newfield Ave, Stamford, CT 06905-1409
Phone Number
314-888-5233
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 25, 2022
Last Update Date
May 29, 2024
Certification Date
May 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1180 Newfield Ave
Stamford, CT 06905-1409
Zip
06905-1409
Phone Number
314-888-5233
Stamford, CT 06905Get directions →

Provider Business Mailing Address Details

Address
339 Main St # 1B
Nashua, NH 03060-4663
City
Nashua
State
NH
Zip
03060-4663
Phone Number
508-768-5473

License Information

License Number (1)
2034
License State (1)
NH
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA9390
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Michaila M Traceski, PA?

The NPI number of Michaila M Traceski, PA is 1356077135. It was assigned on July 25, 2022 and is currently active in the NPPES registry.

What is the specialty of Michaila M Traceski, PA?

Michaila M Traceski, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NH under license number 2034.

Where does Michaila M Traceski, PA practice?

The practice location is 1180 Newfield Ave, Stamford, CT 06905-1409. The office can be reached at 314-888-5233 (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 1356077135 directly on the NPPES registry website.

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