NPI Code Details Logo

NPI 1194353342

NPI 1194353342 : ALEXANDER POZNANSKI MD : DETROIT, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1194353342
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ALEXANDER POZNANSKI MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/31/2020
-----------------------------------------------------
    Last Update Date     |    09/25/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1 FORD PL STE 1E 
-----------------------------------------------------
    City                 |    DETROIT
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48202-3450
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-653-6568
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    20 YORK ST 
-----------------------------------------------------
    City                 |    NEW HAVEN
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06510-3220
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    203-785-2618
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    77336
-----------------------------------------------------
    License Number State |    CT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    4301513831
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.