Organization
BRIDGE STREET ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY INGRAM (ADMINISTRATOR)
(267) 455-4855
Entity
Organization
Contact information
Practice address
79 BRIDGE ST, BROOKLYN, NY 11201-1596
(212) 220-9922
Mailing address
79 BRIDGE ST, BROOKLYN, NY 11201-1596
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
03/30/2026
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