- Practice location
- 500 8TH Ave Rm 906, New York, NY 10018-4190
- Phone
- 212-679-4960
- Fax
- —
- Last updated
- November 23, 2009
Bridge Back To Life is a healthcare organization based in New York, NY. Bridge Back To Life practices in New York, NY. The NPI Number for Bridge Back To Life is 1700114139 and holds a License No. 19634 (NY). The current practice location address for Bridge Back To Life is 500 8TH Ave Rm 906, New York, NY 10018-4190 and can be reached out via phone at 212-679-4960.
Provider Profile Details
- NPI Number
- 1700114139
- Provider Name
- Bridge Back To Life
- Provider Entity Type
- Organization
- Address
- 500 8TH Ave Rm 906, New York, NY 10018-4190
- Phone Number
- 212-679-4960
- Primary Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Organization Subpart
- No
- Authorized Official
- Mr. William Breland, CASAC · Counselor · 212-679-4960
- Provider Enumeration Date
- November 23, 2009
- Last Update Date
- November 23, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 8TH Ave Rm 906
New York, NY 10018-4190 - City
- New York
- State
- New York
- Zip
- 10018-4190
- Phone Number
- 212-679-4960
Provider Business Mailing Address Details
- Address
- 500 8TH Ave Rm 906
New York, NY 10018-4190 - City
- New York
- State
- NY
- Zip
- 10018-4190
- Phone Number
- 212-679-4960
License Information
- License Number
- 19634
- License State
- NY
- Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Rehabilitation, Substance Use Disorders near New York, NY
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Frequently Asked Questions
What is the NPI number of Bridge Back To Life?
The NPI number of Bridge Back To Life is 1700114139. It was assigned on November 23, 2009 and is currently active in the NPPES registry.
What is the specialty of Bridge Back To Life?
Bridge Back To Life is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X), licensed in NY under license number 19634.
Where does Bridge Back To Life practice?
The practice location is 500 8TH Ave Rm 906, New York, NY 10018-4190. The office can be reached at 212-679-4960 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700114139 directly on the NPPES registry website.