Organization
THE BRIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLADY (COO)
(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
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2997620
—
NY
Enumeration date
01/07/2016
Last updated
01/07/2016
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