Active NPIIndividual provider

Amanda Ganzak, MS

Genetic Counselor, MS in New Haven, Connecticut

NPI Number1528456787
Practice location
330 Orchard St Ste 107, New Haven, CT 06511-4430
Fax
203-200-1362
Last updated
January 8, 2021

Amanda Ganzak is a Genetic Counselor, MS based in New Haven, CT. Amanda Ganzak practices in New Haven, CT and has the professional credentials of MS. The NPI Number for Amanda Ganzak is 1528456787 and holds a License No. GC000151 (PA). The current practice location address for Amanda Ganzak is 330 Orchard St Ste 107, New Haven, CT 06511-4430 and can be reached out via phone at 032-200-4362 and via fax at 203-200-1362.

Provider Profile Details

NPI Number
1528456787
Provider Name
Amanda Ganzak
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
330 Orchard St Ste 107, New Haven, CT 06511-4430
Phone Number
032-200-4362
Fax Number
203-200-1362
Primary Taxonomy
Genetic Counselor, MS · 170300000X
Sole Proprietor
No
Other Names
Amanda Brandt, MS (Former Name)
Provider Enumeration Date
December 22, 2014
Last Update Date
January 8, 2021
Certification Date
January 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
330 Orchard St Ste 107
New Haven, CT 06511-4430
Zip
06511-4430
Phone Number
032-200-4362
Fax Number
203-200-1362
New Haven, CT 06511Get directions →

Provider Business Mailing Address Details

Address
330 Orchard St Ste 107
New Haven, CT 06511-4430
City
New Haven
State
CT
Zip
06511-4430
Phone Number
203-200-4362
Fax Number
203-200-1362

License Information

License Number (1)
GC000151
License State (1)
PA
Taxonomy (1)
Genetic Counselor, MS · 170300000X
License Number (2)
157
License State (2)
CT
Taxonomy (2)
Genetic Counselor, MS · 170300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda Ganzak, MS?

The NPI number of Amanda Ganzak, MS is 1528456787. It was assigned on December 22, 2014 and is currently active in the NPPES registry.

What is the specialty of Amanda Ganzak, MS?

Amanda Ganzak, MS is registered under the primary taxonomy Genetic Counselor, MS (code 170300000X), licensed in PA under license number GC000151.

Where does Amanda Ganzak, MS practice?

The practice location is 330 Orchard St Ste 107, New Haven, CT 06511-4430. The office can be reached at 032-200-4362 (phone) or 203-200-1362 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528456787 directly on the NPPES registry website.

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