Provider Demographics
NPI:1942918495
Name:HART, CHELSEA (RDN)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:HART
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CARRIAGE END
Mailing Address - Street 2:
Mailing Address - City:BLAUVELT
Mailing Address - State:NY
Mailing Address - Zip Code:10913-1300
Mailing Address - Country:US
Mailing Address - Phone:845-653-6404
Mailing Address - Fax:
Practice Address - Street 1:3 CARRIAGE END
Practice Address - Street 2:
Practice Address - City:BLAUVELT
Practice Address - State:NY
Practice Address - Zip Code:10913-1300
Practice Address - Country:US
Practice Address - Phone:845-653-6404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered