Organization
VIRTUAL PHYSICIAN PRACTICE (NY), PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRA JANE FICKEN (DIRECTOR OF RCM)
(734) 373-0588
Entity
Organization
Contact information
Practice address
845 CENTRAL AVE STE 204, ALBANY, NY 12206-1514
(855) 408-1143
Mailing address
PO BOX 96361, PHOENIX, AZ 85072-6361
(518) 510-1774
(844) 921-1079
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
04/07/2026
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