BRIDGE BACK TO LIFE CENTER, INC.

NPI # 

Practice Address:

1688 Victory Blvd

Staten Island, NY, 10314-3547

Practice Phone:

718-447-5700

Practice Fax:

718-442-8945

License Number:

141110677

License State:

NY

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Social Worker

Taxonomy Specialization:

Clinical

Taxonomy Code:

1041C0700X

Updated by NPPES on 11/7/2018. You can view the original data set for NPI # 1790102051 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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BRIDGE BACK TO LIFE CENTER, INC.'s

CMS CPT® coding data

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BRIDGE BACK TO LIFE CENTER, INC.'s

CMS prescription data

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