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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIDGE BACK TO LIFE CENTER, INC.

Active Organization

BRIDGE BACK TO LIFE CENTER, INC. is a Clinical Social Worker organization located in STATEN ISLAND, New York. NPI 1790102051 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · STATEN ISLAND, NY

Registration Details

NPI Number
1790102051
Provider Type
Organization
NPI Issued
Mar 25, 2014 (12.408978615599 yrs)
Last Updated
Nov 7, 2018
License
141110677 (NY)

Practice Information

Address
1688 VICTORY BLVD
STATEN ISLAND, NY, 103143547
Browse NY providers · Browse ZIP 10314
Phone
7184475700
Fax
7184428945
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.