MEDICARE: BRIDGING ACCESS TO CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	324500000X	Substance Abuse Rehabilitation Facility
3	251B00000X	Case Management Agency	NY

General Provider Information

NPI Number	:	1922540145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGING ACCESS TO CARE

Provider Business Mailing Address
First Line	:	2261 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-3201
Country	:	US
Telephone Number	:	347-505-5117
Fax Number	:	718-623-1158

Provider Business Practice Location Address
First Line	:	2261 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-3201
Country	:	US
Telephone Number	:	347-505-5117
Fax Number	:	718-623-1158

Authorized Official
Title or Position	:	DIRECTOR OF REVENUE CYCLE MANAGER
Name	:	MRS. ANA LUISA MANON
Credential	:
Telephone Number	:	347-505-5117

Provider Enumeration Date	:	11/07/2016
Last Update Date	:	01/30/2025

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Directions to “BRIDGING ACCESS TO CARE ” Practice Location

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