Individual provider · Type 1 NPI

Jaclyn M. Virgil, MS

Specialist · Shirley, NY

NPI number 1508112442 Active

Practice location

145 William Floyd Pkwy
Shirley, NY 11967-3441

Mailing address

PO Box 428
Shirley, NY 11967-0428

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X305369 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1508112442

Jaclyn M. Virgil, MS's National Provider Identifier is 1508112442, issued on Jul 30, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Shirley, NY. The record was last updated on Jul 30, 2012.