Provider Demographics
NPI:1356599484
Name:VIRMANI, ADITYA (MD)
Entity type:Individual
Prefix:DR
First Name:ADITYA
Middle Name:
Last Name:VIRMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 N PLANDOME RD
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-3423
Mailing Address - Country:US
Mailing Address - Phone:917-716-0629
Mailing Address - Fax:
Practice Address - Street 1:755 PARK AVE STE 140
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3972
Practice Address - Country:US
Practice Address - Phone:631-942-4480
Practice Address - Fax:631-532-1700
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2597042084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry