Provider Demographics
NPI:1487235909
Name:ARBOLEDA, NAMITA NEERUKONDA (MD)
Entity type:Individual
Prefix:
First Name:NAMITA
Middle Name:NEERUKONDA
Last Name:ARBOLEDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAMITA
Other - Middle Name:D
Other - Last Name:NEERUKONDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:600 IVY ST STE 206
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14905-1627
Mailing Address - Country:US
Mailing Address - Phone:607-271-2093
Mailing Address - Fax:607-271-2071
Practice Address - Street 1:600 ROE AVE
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14905-1676
Practice Address - Country:US
Practice Address - Phone:607-737-7012
Practice Address - Fax:607-733-5594
Is Sole Proprietor?:No
Enumeration Date:2021-04-16
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3318912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry