Individual
MICHAEL EDWARD BOMBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
259 STATE LINE RD, 259 STATE LINE RD, EAGLE BRIDGE, NY 12057-3142
(518) 450-8842
Mailing address
259 STATE LINE RD, 259 STATE LINE RD, EAGLE BRIDGE, NY 12057-3142
(518) 450-8842
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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