Provider Demographics
NPI:1528833142
Name:HART, JOSTINA (CD)
Entity type:Individual
Prefix:
First Name:JOSTINA
Middle Name:
Last Name:HART
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2475 BROOKSHIRE DR APT 147
Mailing Address - Street 2:
Mailing Address - City:NISKAYUNA
Mailing Address - State:NY
Mailing Address - Zip Code:12309-2871
Mailing Address - Country:US
Mailing Address - Phone:518-728-3612
Mailing Address - Fax:
Practice Address - Street 1:2475 BROOKSHIRE DR APT 147
Practice Address - Street 2:
Practice Address - City:NISKAYUNA
Practice Address - State:NY
Practice Address - Zip Code:12309-2871
Practice Address - Country:US
Practice Address - Phone:518-618-2371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-24
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula