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 1811228687

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 2010.

Licensed in
NY
In the registry since
2010
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 080531 (NY)

Record details

NPI number1811228687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathryn Ryan — Staff Therapist · (718) 447-5700
NPI enumeratedJanuary 19, 2010
Last updated in NPPESJanuary 19, 2010
Mailing address1688 Victory Blvd, Staten Island, NY 10314-3533

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