# BRIDGE BUILDERS MARRIAGE AND FAMILY THERAPY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275293581
- **Authorized official:** ELISABETH M BANG (DIRECTOR)
- **Authorized official phone:** (516) 477-4644

## Contact information

- **Practice address:** 14424 37TH AVE APT LD, FLUSHING, NY 11354-5913
- **Practice address phone:** (516) 477-4644
- **Mailing address:** 14424 37TH AVE APT LD, FLUSHING, NY 11354-5913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2021
- **Last updated:** 12/28/2021