Individual
BRIDGET SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4374 BRUNER AVE, BRONX, NY 10466-1806
(718) 798-4026
Mailing address
4374 BRUNER AVE, BRONX, NY 10466-1806
(718) 798-4026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
489198-1
NY
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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