Provider Demographics
NPI:1487772695
Name:ROZEK, FELICIA (PHD)
Entity type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:
Last Name:ROZEK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BUCKINGHAM PL
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-5004
Mailing Address - Country:US
Mailing Address - Phone:203-854-6795
Mailing Address - Fax:203-854-6795
Practice Address - Street 1:393 W END AVE
Practice Address - Street 2:1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6138
Practice Address - Country:US
Practice Address - Phone:212-873-1803
Practice Address - Fax:212-873-1803
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006750103TC0700X
CT001547103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical