Healthcare Provider Details
I. General information
NPI: 1740809482
Provider Name (Legal Business Name): HINA RIASAT VIRK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/13/2020
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 GUTHRIE DRIVE CORNING
CORNING NY
14830
US
IV. Provider business mailing address
1 GUTHRIE DRIVE CORNING
CORNING NY
14830
US
V. Phone/Fax
- Phone: 607-937-7200
- Fax:
- Phone: 607-937-7200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 342721-01 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: