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Bridge Back To Life Center, Inc.
Multi-Specialty Clinic/Center in Bethpage, New York
NPI 1518918101

Bridge Back To Life Center, Inc. is a Multi-Specialty Clinic/Center based in Bethpage, NY and is specialized in Multi-Specialty. Bridge Back To Life Center, Inc. practices in Bethpage, NY. The NPI Number for Bridge Back To Life Center, Inc. is 1518918101 and holds a License No. (New York).

The current practice location address for Bridge Back To Life Center, Inc. is 1065 Stewart Ave Ste 101, Bethpage, NY and can be reached out via phone at 516-520-6600 and via fax at 516-520-6750.

Location: 1065 Stewart Ave Ste 101, Bethpage, NY, 11714-3637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518918101
Provider Name
Bridge Back To Life Center, Inc.
Credential
Provider Entity Type
Organization
Address
1065 Stewart Ave Ste 101, Bethpage, NY, 11714-3637
Phone Number
516-520-6600
Fax Number
516-520-6750
Provider Enumeration Date
05/16/2006
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
1065 Stewart Ave Ste 101
City
Bethpage
State
New York
Zip
11714-3637
Phone Number
516-520-6600
Fax Number
516-520-6750
person
Provider Business Mailing Address Details
Address
1065 Stewart Ave Ste 101
City
Bethpage
State
New York
Zip
11714-3637
Phone Number
516-520-6600
Fax Number
516-520-6750
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
()
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 4
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
163WA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
()
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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