National Provider Identifier
Jordan Elliott Bontrager, MS, CGC
Jordan Elliott Bontrager, MS, CGC is listed in the NPPES registry with a primary specialty of Genetic Counselor (M.S.) in Rochester, NY and a listed phone number of (585) 273-1081.
Profile Overview
- NPI
- 1922771245
- Provider Type
- Individual
- Primary Specialty
- Genetic Counselor (M.S.)
- Enumeration Date
- August 02, 2021
- Last Updated
- August 02, 2021
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 273-1081
Mailing Address
- 601 Elmwood Ave Box 673
- Rochester, NY 14642-0001
Specialties
- Genetic Counselor (M.S.) (170300000X)
Full Record
- NPI
- 1922771245
- Entity Type
- Individual
- Last Name
- Bontrager
- First Name
- Jordan
- Middle Name
- Elliott
- Name Prefix
- MS.
- Credential
- MS, CGC
- Mailing Street Address
- 601 Elmwood Ave Box 673
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 273-1081
- Mailing Fax
- (585) 273-1255
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 273-1081
- Enumeration Date
- August 02, 2021
- Last Updated
- August 02, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 02, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Genetic Counselor (M.S.) (170300000X)