Bridge Back To Life

NPI 1083942411 - Clinic/Center - 261QR0405X

NPI Details
NPI 1083942411
Enumeration Date 11/23/2009
Last Updated 11/23/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ROBERT J. ROBERT
Position COUNSELOR
Phone (212) 679-4960
Fax
Practice Location
500 8TH AVE RM 906
NEW YORK NY, 10018-4190, US
Phone (212) 679-4960
Fax
Business Location
500 8TH AVE RM 906
NEW YORK NY, 10018-4190, US
Phone (212) 679-4960
Fax
Toxanomy
Taxonomy Code 261QR0405X
License State New York
License Number 17584
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According to our database, Bridge Back To Life NPI is 1083942411, taxonomy code is 261QR0405X and license number is 17584, license state is located at New York. Bridge Back To Life physically located at 500 8th Ave Rm 906, New York NY, 10018-4190. NPI Number 1033115704 has the healthcare provider type.

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1083942411 NPI number is provided on an as is basis without warranty of any kind. 1083942411 is maintained by the National Plan & Provider Enumeration System. The contents of Bridge Back To Life are for informational purposes only.