Provider Demographics
NPI:1891075131
Name:VIRAG, JILL (MSED)
Entity Type:Individual
Prefix:MISS
First Name:JILL
Middle Name:
Last Name:VIRAG
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:MS
Other - First Name:JILL
Other - Middle Name:
Other - Last Name:VIRAG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:730 COLUMBUS AVE
Mailing Address - Street 2:APARTMENT 6I
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6658
Mailing Address - Country:US
Mailing Address - Phone:516-721-8745
Mailing Address - Fax:
Practice Address - Street 1:730 COLUMBUS AVE
Practice Address - Street 2:APARTMENT 6I
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6658
Practice Address - Country:US
Practice Address - Phone:516-721-8745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst