Healthcare Provider Details

I. General information

NPI: 1043521982
Provider Name (Legal Business Name): MS. MONICA MARIE VIRGIL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2010
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 STATE RD
WEBSTER NY
14580-9339
US

IV. Provider business mailing address

1401 STATE RD
WEBSTER NY
14580-9339
US

V. Phone/Fax

Practice location:
  • Phone: 585-872-4200
  • Fax:
Mailing address:
  • Phone: 315-783-4936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: