Healthcare Provider Details

I. General information

NPI: 1295654010
Provider Name (Legal Business Name): BRIDGE TO HOPE NY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 OSTEREH BLVD
SPRING VALLEY NY
10977-8873
US

IV. Provider business mailing address

39 OSTEREH BLVD
SPRING VALLEY NY
10977-8873
US

V. Phone/Fax

Practice location:
  • Phone: 315-975-5556
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: CERIL FRIEDMAN
Title or Position: MANGER
Credential:
Phone: 315-975-5556