Provider Demographics
NPI:1720887649
Name:VIRTUAL WELLNESS AND HEALTH
Entity type:Organization
Organization Name:VIRTUAL WELLNESS AND HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHANY
Authorized Official - Middle Name:
Authorized Official - Last Name:CORPORAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:346-758-1734
Mailing Address - Street 1:14728 90TH AVE APT 5H
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-3706
Mailing Address - Country:US
Mailing Address - Phone:346-758-1734
Mailing Address - Fax:
Practice Address - Street 1:14728 90TH AVE APT 5H
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-3706
Practice Address - Country:US
Practice Address - Phone:346-758-1734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty