Provider Demographics
NPI:1912536822
Name:VIRIYA, GEORGE FU-SHIUNG (MD, MBA, BSN)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:FU-SHIUNG
Last Name:VIRIYA
Suffix:
Gender:M
Credentials:MD, MBA, BSN
Other - Prefix:DR
Other - First Name:GEORGE
Other - Middle Name:F
Other - Last Name:VIRIYA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8 GREENWAY N
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5250
Mailing Address - Country:US
Mailing Address - Phone:917-748-0056
Mailing Address - Fax:
Practice Address - Street 1:8 GREENWAY N
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5250
Practice Address - Country:US
Practice Address - Phone:917-748-0056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-02
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program