Healthcare Provider Details

I. General information

NPI: 1154534550
Provider Name (Legal Business Name): VIRDEE MEDICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 SENECA ST SUITE 2
HORNELL NY
14843-1336
US

IV. Provider business mailing address

7 SENECA ST
HORNELL NY
14843-1312
US

V. Phone/Fax

Practice location:
  • Phone: 607-324-0660
  • Fax: 607-324-0770
Mailing address:
  • Phone: 607-324-1372
  • Fax: 607-324-1374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number194530
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number194530
License Number StateNY

VIII. Authorized Official

Name: DR. TEJINDER S VIRDEE
Title or Position: OWNER
Credential: M.D.
Phone: 607-324-0660