Organization Name: | NEW YORK BRIDGE CENTER, LLC |
NPI Number: | 1013324441 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDRE TAYLOR (PRESIDENT) |
Mailing Address: | 944 Jerusalem Ave Uniondale |
State: | NY US |
Postal Code: | 115533003 |
Phone Number: | 5168261840 |
Fax Number: | 5168261839 |
NPI Enumeration Date: | 07/17/2014 |
NPI Last Update Date: | 07/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |