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General NPI Number Information
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NPI Number | 1891946323
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Entity Type | Organization
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Legal Business Name | NEW VIRTUAL MEDICINE, PLLC
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 3 NEWCASTLE RD
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City | HALFMOON
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State | NY
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Zip | 12065-6123
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Country | US
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Telephone | 518-724-5151
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Fax | 518-207-9078
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Provider Business Mailing Address
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Address Line | 3 NEWCASTLE RD
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City | HALFMOON
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State | NY
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Zip | 12065-6123
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Country | US
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Telephone | 518-724-5151
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Fax | 518-207-9078
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. FABIO L URRESTA
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Credential | MD
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Telephone | 518-878-7425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 247163
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License Number State | NY
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