Provider Demographics
NPI:1750644050
Name:BRYGIDYR, CAMILLE ANGELA (MS)
Entity Type:Individual
Prefix:MRS
First Name:CAMILLE
Middle Name:ANGELA
Last Name:BRYGIDYR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 195
Mailing Address - Street 2:
Mailing Address - City:FLORIDA
Mailing Address - State:NY
Mailing Address - Zip Code:10921-0195
Mailing Address - Country:US
Mailing Address - Phone:845-651-2251
Mailing Address - Fax:845-651-2258
Practice Address - Street 1:1751 ROUTE 17A
Practice Address - Street 2:
Practice Address - City:FLORIDA
Practice Address - State:NY
Practice Address - Zip Code:10921
Practice Address - Country:US
Practice Address - Phone:845-651-2251
Practice Address - Fax:845-651-2258
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist