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NPI Code Detail

MEDICARE: BRIDGE CENTER OF SCHENECTADY, INC.

MEDICARE: BRIDGE CENTER OF SCHENECTADY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1821273764
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGE CENTER OF SCHENECTADY, INC.
Provider Business Mailing Address
First Line : 72 UNION AVE
Second Line :
City : SCHENECTADY
State : NY
Zip : 12308-2430
Country : US
Telephone Number : 518-346-1277
Fax Number : 518-346-1152
Provider Business Practice Location Address
First Line : 72 UNION AVE
Second Line :
City : SCHENECTADY
State : NY
Zip : 12308-2430
Country : US
Telephone Number : 518-346-1277
Fax Number : 518-346-1152
Authorized Official
Title or Position : ADMINISTRATIVE MANAGER
Name : MS. LINDA C. FAY
Credential :
Telephone Number : 518-346-1277
Provider Enumeration Date : 01/09/2008
Last Update Date : 01/09/2008

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Directions to “BRIDGE CENTER OF SCHENECTADY, INC. ” Practice Location

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