Organization
BRIDGES FOR BRAIN INJURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA DONALDSON (EXECUTIVE DIRECTOR)
(585) 396-0070
Entity
Organization
Contact information
Practice address
5760 DUKE OF GLOUCESTER WAY, FARMINGTON, NY 14425-9631
(585) 396-0070
Mailing address
5760 DUKE OF GLOUCESTER WAY, FARMINGTON, NY 14425-9631
(585) 396-0070
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02969813
—
NY
05
—
03157586
—
NY
Enumeration date
06/02/2015
Last updated
06/02/2015
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