Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bridge Back to Life, Inc

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1467780718

Bridge Back to Life, Inc provides Substance Use Disorder Rehabilitation Clinic/Center services in Staten Island, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1688 Victory Blvd
Staten Island, NY 10314-3533 Not confirmed with CMS for 16 years — call before visiting
Phone: (718) 447-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence 080366 (NY)

Record details

NPI number1467780718
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leigh-Ann Borriello — Staff Therapist · (718) 447-5700
NPI enumeratedNovember 25, 2009
Last updated in NPPESNovember 25, 2009
Mailing address1688 Victory Blvd, Staten Island, NY 10314-3533

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