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

Bridge Back to Life Center, Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1518918101

Bridge Back to Life Center, Inc is an Addiction (Substance Use Disorder) Counselor in Bethpage, New York. Works from 4 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
6
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

1065 Stewart Ave Ste 101
Bethpage, NY 11714-3637
Phone: (516) 520-6600
Fax: (516) 520-6750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 175 Remsen St Ste 1010, Brooklyn, NY 11201-4300 — (718) 852-5552
  • 3044 Coney Island Ave Ste 3, Brooklyn, NY 11235-5224 — (718) 265-4200
  • 1688 Victory Blvd, Staten Island, NY 10314-3547 — (718) 447-5700

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X
Addiction (Substance Use Disorder) Registered Nurse Taxonomy 163WA0400X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X

Record details

NPI number1518918101
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Carucci Rossi — Billing Supervisor · (516) 520-6600
NPI enumeratedMay 16, 2006
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address1065 Stewart Ave Ste 101, Bethpage, NY 11714-3637

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