New Virtual Medicine, Pllc | |
3 Newcastle Rd Halfmoon NY 12065-6123 | |
(518) 724-5151 | |
(518) 207-9078 |
Full Name | New Virtual Medicine, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 3 Newcastle Rd, Halfmoon, New York |
Authorized Official Name and Position | Fabio L Urresta (DIRECTOR) |
Authorized Official Contact | 5188787425 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Virtual Medicine, Pllc 3 Newcastle Rd Halfmoon NY 12065-6123 Ph: (518) 724-5151 | New Virtual Medicine, Pllc 3 Newcastle Rd Halfmoon NY 12065-6123 Ph: (518) 724-5151 |
NPI Number | 1891946323 |
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Provider Enumeration Date | 10/02/2008 |
Last Update Date | 04/12/2023 |
Certification Date | 04/12/2023 |
Medicare PECOS PAC ID | 4981760428 |
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Medicare Enrollment ID | O20090306000428 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891946323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 247163 (New York) | Primary |
Provider Name | Fabio L Urresta |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1104987064 PECOS PAC ID: 2860590890 Enrollment ID: I20080604000131 |
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