Provider Demographics
NPI:1669279303
Name:ROZANSKI, ALYSSA ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:ELIZABETH
Last Name:ROZANSKI
Suffix:
Gender:
Credentials:
Other - Prefix:MISS
Other - First Name:ALYSSA
Other - Middle Name:ELIZABETH
Other - Last Name:ALTERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:420 GAFFNEY DR
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-1823
Mailing Address - Country:US
Mailing Address - Phone:315-836-1242
Mailing Address - Fax:
Practice Address - Street 1:420 GAFFNEY DR
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-1823
Practice Address - Country:US
Practice Address - Phone:315-836-1242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist