Provider Demographics
NPI:1538750617
Name:ADITYA PSYCHIATRY PLLC
Entity type:Organization
Organization Name:ADITYA PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER/PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:ADITYA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIRMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-942-4480
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:631-942-4480
Mailing Address - Fax:
Practice Address - Street 1:378 SYOSSET WOODBURY RD
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-1200
Practice Address - Country:US
Practice Address - Phone:631-942-4480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty