Provider Demographics
NPI:1891946323
Name:NEW VIRTUAL MEDICINE, PLLC
Entity Type:Organization
Organization Name:NEW VIRTUAL MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FABIO
Authorized Official - Middle Name:L
Authorized Official - Last Name:URRESTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-878-7425
Mailing Address - Street 1:3 NEWCASTLE RD
Mailing Address - Street 2:
Mailing Address - City:HALFMOON
Mailing Address - State:NY
Mailing Address - Zip Code:12065-6123
Mailing Address - Country:US
Mailing Address - Phone:518-724-5151
Mailing Address - Fax:518-207-9078
Practice Address - Street 1:3 NEWCASTLE RD
Practice Address - Street 2:
Practice Address - City:HALFMOON
Practice Address - State:NY
Practice Address - Zip Code:12065-6123
Practice Address - Country:US
Practice Address - Phone:518-724-5151
Practice Address - Fax:518-207-9078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2471632084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty