Bridge Back To Life, Inc.

LBN: Bridge Back To Life, Inc.
Bridge Back To Life, Inc. is an health care organization with primary practice located at 1688 Victory Blvd , Staten Island NY 10314-3533. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Bridge Back To Life, Inc. can be contacted via phone (718) 447-5700, or through Ryan, Kathryn Marie via phone (718) 447-5700.

Contact Information

Primary practice address
1688 Victory Blvd Staten Island NY 10314-3533
Phone: (718) 447-5700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Kathryn Marie LMSW
Phone: (718) 447-5700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 080531 New York

Profile Details

NPI number 1811228687
LBN Legal business name Bridge Back To Life, Inc.
DBA Doing business as
Authorized official Ryan, Kathryn Marie LMSW
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2010
Last updated Jan 19th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811228687 NPPES
New York Other 080531 KATHRYN MARIE RYAN

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