Provider Demographics
NPI:1457159410
Name:DANZER, TALYA (MS, CGC)
Entity type:Individual
Prefix:
First Name:TALYA
Middle Name:
Last Name:DANZER
Suffix:
Gender:
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 W 95TH ST APT 20A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6788
Mailing Address - Country:US
Mailing Address - Phone:917-699-5943
Mailing Address - Fax:
Practice Address - Street 1:95 W 95TH ST APT 20A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6788
Practice Address - Country:US
Practice Address - Phone:917-699-5943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA345634170300000X
22721170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS