Provider Demographics
NPI:1750684601
Name:ROZYCKI, STEVEN (CASACT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:ROZYCKI
Suffix:
Gender:M
Credentials:CASACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BRESLIN AVE
Mailing Address - Street 2:
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047-3402
Mailing Address - Country:US
Mailing Address - Phone:518-229-4644
Mailing Address - Fax:
Practice Address - Street 1:2 BRESLIN AVE
Practice Address - Street 2:
Practice Address - City:COHOES
Practice Address - State:NY
Practice Address - Zip Code:12047-3402
Practice Address - Country:US
Practice Address - Phone:518-229-4644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)