Provider Demographics
NPI:1730529215
Name:ROZANSKI, ANDREW S (DMD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:S
Last Name:ROZANSKI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PARIS RD
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-2476
Mailing Address - Country:US
Mailing Address - Phone:315-732-1981
Mailing Address - Fax:315-724-5063
Practice Address - Street 1:1 PARIS RD
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-2476
Practice Address - Country:US
Practice Address - Phone:315-732-1981
Practice Address - Fax:315-724-5063
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057350-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00384309Medicaid