Organization
BRIDGE BACK TO LIFE CENTER
Active
Organization
BRIDGE BACK TO LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY J HAMILTON LMSW (SOCIAL WORKER)
(718) 852-5552
Entity
Organization
Contact information
Practice address
175 REMSEN ST, 10TH FLOOR, BROOKLYN, NY 11201-4300
(718) 852-5552
Mailing address
175 REMSEN ST, 10TH FLOOR, BROOKLYN, NY 11201-4300
(718) 852-5552
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
079825-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079825-1
LMSW
NY
Enumeration date
11/19/2009
Last updated
11/19/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up