Provider Demographics
NPI:1366166092
Name:ARCODIA, MARIA C (C/OGA)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:C
Last Name:ARCODIA
Suffix:
Gender:F
Credentials:C/OGA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 RENSSELAER STREET
Mailing Address - Street 2:
Mailing Address - City:HOOSICK FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12090
Mailing Address - Country:US
Mailing Address - Phone:917-548-9848
Mailing Address - Fax:
Practice Address - Street 1:32 RENSSELAER STREET
Practice Address - Street 2:
Practice Address - City:HOOSICK FALLS
Practice Address - State:NY
Practice Address - Zip Code:12090
Practice Address - Country:US
Practice Address - Phone:917-548-9848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCO623174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist