Tara Virgil

NPI #1164714986 in Amityville, New York

Provider Information

NPI Number
1164714986
Entity Type
Individual
Name
Tara Virgil
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
May 12, 2011
Last Updated
May 12, 2011

Practice Location

Address
400 SUNRISE HWY
Address 2
CARONE HALL 1ST FLOOR
ZIP Code
11701-2508
Phone
(631) 608-5028

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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