Individual ProviderEmily SmythNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address95 Bradhurst Ave, Valhalla, NY 10595-1637(914) 592-7555PECOS EnrollmentBased on the most recent information from CMS, provider Emily Smyth does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 1:00 PM.Profile DetailsProvider ID1063757987Provider TypeIndividualFull NameSmyth, EmilyTitleMs.CredentialFNP-BCGenderFemaleSole ProprietorYesEnumeration Date12/4/2012Last Updated8/27/2015Contact InformationPractice LocationPractice Address95 Bradhurst Ave, Valhalla, NY 10595-1637Phone(914) 592-7555Fax(914) 831-1291Mailing LocationMailing Address95 Bradhurst Ave, Valhalla, NY 10595-1637Phone(914) 592-7555FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF337442-1New York