Individual
MS. BRIGETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
2615 CULVER ROAD, SUITE 100, ROCHESTER, NY 14609
(585) 336-5320
(585) 336-9114
Mailing address
2420 RIDGEWAY AVENUE, ROCHESTER, NY 14626
(585) 227-4000
(585) 227-4003
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
009396
NY
363AS0400X
Surgical Physician Assistant
009396
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03057201
—
NY
Enumeration date
10/25/2006
Last updated
11/20/2019
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