Provider Demographics
NPI:1629596952
Name:TWOHIG, JILL MARIE (MS)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:MARIE
Last Name:TWOHIG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 1ST AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-4500
Mailing Address - Country:US
Mailing Address - Phone:267-971-0957
Mailing Address - Fax:
Practice Address - Street 1:8020 54TH AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4710
Practice Address - Country:US
Practice Address - Phone:718-478-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2017-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health