Virgil, Jaclyn M

Virgil, Jaclyn M is an sole proprietor health care provider with primary practice located at 145 William Floyd Pkwy , Shirley NY 11967-3441. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Virgil, Jaclyn M can be contacted via phone (631) 327-1850.

Contact Information

Primary practice address
145 William Floyd Pkwy Shirley NY 11967-3441
Phone: (631) 327-1850
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 305369 New York

Profile Details

NPI number 1508112442
LBN Legal business name Virgil, Jaclyn M
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2012
Last updated Jul 30th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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