Provider Demographics
NPI:1104519420
Name:ROZOVSKY, DANIEL (MS)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:ROZOVSKY
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 PENNSYLVANIA BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2227
Mailing Address - Country:US
Mailing Address - Phone:412-757-1947
Mailing Address - Fax:
Practice Address - Street 1:322 PENNSYLVANIA BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-2227
Practice Address - Country:US
Practice Address - Phone:412-757-1947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health