MEDICARE: VIRTUS CARE CONTINUUM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1447058524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRTUS CARE CONTINUUM

Provider Business Mailing Address
First Line	:	2351 ADAM CLAYTON POWELL JR BLVD PH 6
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10030-2591
Country	:	US
Telephone Number	:	631-235-6281
Fax Number	:

Provider Business Practice Location Address
First Line	:	2351 ADAM CLAYTON POWELL JR BLVD PH 6
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10030-2591
Country	:	US
Telephone Number	:	631-235-6281
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	LISA SULLIVAN
Credential	:
Telephone Number	:	440-453-0754

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	03/05/2025

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Directions to “VIRTUS CARE CONTINUUM ” Practice Location

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