Provider Demographics
NPI:1467339119
Name:CHAJECKI, MARCUS FELIX (CASAC-T / CRAP)
Entity type:Individual
Prefix:
First Name:MARCUS
Middle Name:FELIX
Last Name:CHAJECKI
Suffix:
Gender:M
Credentials:CASAC-T / CRAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:388 RICHMOND TER APT 6A
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-1531
Mailing Address - Country:US
Mailing Address - Phone:718-772-6870
Mailing Address - Fax:
Practice Address - Street 1:388 RICHMOND TER APT 6A
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-1531
Practice Address - Country:US
Practice Address - Phone:718-772-6870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY40875101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty