MEDICARE: CARA COSTIK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula	19864	PA

General Provider Information

NPI Number	:	1548016652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA COSTIK

Provider Business Mailing Address
First Line	:	2017 PALM AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-1550
Country	:	US
Telephone Number	:	814-249-2506
Fax Number	:

Provider Business Practice Location Address
First Line	:	2017 PALM AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-1550
Country	:	US
Telephone Number	:	814-249-2506
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2024
Last Update Date	:	04/29/2024

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Directions to “ CARA COSTIK ” Practice Location

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