Organization
THE BRIDGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN WIVIOTT (CEO)
(212) 663-3000
Entity
Organization
Contact information
Practice address
248 W 108TH ST, NEW YORK, NY 10025-2956
(212) 663-3000
Mailing address
248 W 108TH ST, NEW YORK, NY 10025-2956
(212) 663-3000
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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