| Doctor Name: | ANNE M. VIRGILIO |
| NPI Number: | 1114003134 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | R049326-1 |
| Business Practice Address: | 10 Station Ct Bellport, NY - 117132453 |
| Business Phone Number: | 6312865710 |
| Business Fax Number: | 6312865720 |
| Mailing Address: | 17 Woodhollow Rd., P.o. Box 584 GREAT RIVER |
| State: | NY |
| Postal Code: | 117390584 |
| Phone Number: | 6315813194 |
| Fax Number: | 6312865720 |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | R049326-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |