NPI 1023976743 · live from the CMS NPI Registry
Henry Drakulich Altick, PA-C
Physician Assistant in New Haven, CT. National Provider Identifier 1023976743, active.
NPI record
| NPI | 1023976743 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 20 York St, New Haven, CT 06510 |
| Practice phone | 203-688-4242 |
| Mailing address | 263 Willow St # 2, New Haven, CT 06511 |
| Enumerated | January 12, 2026 |
| Last updated | March 18, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 7553 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.