Provider Demographics
NPI:1942653175
Name:SMYTHE, BRIGIDA
Entity Type:Individual
Prefix:
First Name:BRIGIDA
Middle Name:
Last Name:SMYTHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRIGIDA
Other - Middle Name:
Other - Last Name:CIRILLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:982 HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-4928
Mailing Address - Country:US
Mailing Address - Phone:917-519-7659
Mailing Address - Fax:
Practice Address - Street 1:982 HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-4928
Practice Address - Country:US
Practice Address - Phone:917-519-7659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-23
Last Update Date:2016-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1852564174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist