Individual
MRS. BRIDGET ROSE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
80 QUINBY AVE, WHITE PLAINS, NY 10606-3118
(201) 406-0293
Mailing address
80 QUINBY AVE, WHITE PLAINS, NY 10606-3118
(201) 406-0293
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TR00495600
NJ
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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