Provider Demographics
NPI:1154343614
Name:FOY, BRIDGET (DO)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:FOY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:BRIDGET
Other - Middle Name:
Other - Last Name:FOY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:279 MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-1623
Mailing Address - Country:US
Mailing Address - Phone:845-255-2930
Mailing Address - Fax:845-255-3089
Practice Address - Street 1:279 MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-1623
Practice Address - Country:US
Practice Address - Phone:845-255-2930
Practice Address - Fax:845-255-3089
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233478-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY233478-1Other050
NYA400002617Medicare PIN