Provider Demographics
NPI:1689393415
Name:ARTHUR, CODY JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:CODY
Middle Name:JAMES
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 CRITTENDEN WAY APT 6
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2211
Mailing Address - Country:US
Mailing Address - Phone:973-841-1492
Mailing Address - Fax:
Practice Address - Street 1:1174 MOUNT HOPE AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-2911
Practice Address - Country:US
Practice Address - Phone:585-445-8584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013644111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor