Provider Demographics
NPI:1689928202
Name:PINEDA-LARGOZA, MARIA BELLA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:BELLA
Last Name:PINEDA-LARGOZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 W WATER ST APT 419
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202-1095
Mailing Address - Country:US
Mailing Address - Phone:347-407-0244
Mailing Address - Fax:
Practice Address - Street 1:324 W WATER ST APT 419
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-1095
Practice Address - Country:US
Practice Address - Phone:347-407-0244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-05
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2676642084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry