OrganizationActive
Bridge Back to Life, Inc.
NPI 1811228687 · Substance Use Disorder Rehabilitation Clinic/Center · Staten Island, NY
Provider details
- NPI number
- 1811228687
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kathryn Ryan, Staff Therapist(718) 447-5700
- License
- 080531 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1688 Victory Blvd
Staten Island, NY 10314-3533
Phone: (718) 447-5700
Street-level locationGet directions
Mailing address
1688 Victory Blvd
Staten Island, NY 10314-3533
Registry dates
- Enumerated
- 2010-01-19
- Last updated
- 2010-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.