Healthcare Provider Details

I. General information

NPI: 1073476065
Provider Name (Legal Business Name): MONICA BEATRIZ ARRIOLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4422 3RD AVE
BRONX NY
10457-2594
US

IV. Provider business mailing address

3880 9TH AVE APT 5B
NEW YORK NY
10034-1754
US

V. Phone/Fax

Practice location:
  • Phone: 718-960-6635
  • Fax:
Mailing address:
  • Phone: 678-326-9201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberP140132
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: