Healthcare Provider Details

I. General information

NPI: 1649364969
Provider Name (Legal Business Name): STEPHEN J ANDRESKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 W HITE CT
SCHENECTADY NY
12303-5623
US

IV. Provider business mailing address

29 W HITE CT
SCHENECTADY NY
12303-5623
US

V. Phone/Fax

Practice location:
  • Phone: 518-355-0472
  • Fax: 518-252-6050
Mailing address:
  • Phone: 518-355-0472
  • Fax: 518-252-6050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number133683
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: