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BRIDGE BACK TO LIFE, INC.
NPI 1467780718
Clinic/Center - Rehabilitation, Substance Use Disorder in Staten Island, NY

Active since November 25, 2009
1688 VICTORY BLVD, STATEN ISLAND, NY 10314(718) 447-5700 Get Directions Write a Review

NPPES record last updated: November 25, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bridge Back To Life, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGE BACK TO LIFE, INC. (NPI 1467780718) is a healthcare organization registered as a rehabilitation, substance use disorder in Staten Island, New York and active in the NPI registry since November 2009. The organization lists Leigh-ann Borriello, Staff Therapist, as its authorized official.

NPPES Registry Identity

NPI1467780718
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameBRIDGE BACK TO LIFE, INC.
Location Address1688 VICTORY BLVDStaten Island, NY 10314-3533
Mailing Address1688 Victory BlvdStaten Island, NY 10314-3533 · (718) 447-5700
Phone(718) 447-5700
Organization SubpartNo
Authorized OfficialLeigh-ann BorrielloStaff Therapist · (718) 447-5700
Enumeration DateNovember 25, 2009
✔ NPI 1467780718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in NY · 080366
1688 VICTORY BLVD, Staten Island, NY 10314
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Other Identifiers 1

Other080366NY · Leigh Ann Borriello, Lmsw

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE LEVESQUE LCSWR
Social Worker (Clinical)
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
KATHRYN MARIE RYAN LMSW
Social Worker
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
JANICE KOWALSKI LMSW
Social Worker
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
PAK LING CHEUNG
Counselor (Mental Health)
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
KELLEY NOELLE COPE LMSW
Social Worker
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
ROBERTO JENNINGS CASAC
Counselor (Addiction (Substance Use Disorder))
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
RACHEL MARNI KELLNER LMSW
Social Worker (Clinical)
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
STANELY CHARZEWSKI LCSWR
Social Worker (Clinical)
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridge Back To Life, Inc.'s NPI number?

The NPI number for Bridge Back To Life, Inc. is 1467780718. It was assigned to this organization in the NPPES registry on November 25, 2009.

Where is Bridge Back To Life, Inc. located?

Bridge Back To Life, Inc. is located at 1688 Victory Blvd, Staten Island, NY 10314. The listed phone number is (718) 447-5700.

What is Bridge Back To Life, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Bridge Back To Life, Inc. was last updated on November 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.