BRIDGES FOR BRAIN INJURY (NPI# 1366822611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366822611 |
| Entity Type | Organization |
| Organization Name | BRIDGES FOR BRAIN INJURY |
| Practice Address |
5760 Duke of Gloucester Way Farmington NY 14425-9631 |
| Practice Telephone | 5853960070 |
| Mailing Telephone | 5853960070 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |
| Authorized Official Name | MRS. LAURA DONALDSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5853960070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03157586 | 05 | |
| NY | 02969813 | 05 |
| Street Address |
5760 DUKE OF GLOUCESTER WAY |
| City | FARMINGTON |
| State | NY |
| Zip Code | 14425-9631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679938492 | Bridges for Brain Injury, Inc. | Case Management | 5760 Duke of Gloucester Way, Farmington, NY 14425-9631 | 2015-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211827 | Laura Elizabeth Kilburg | Dietitian, Registered | 6371 Cedar Creek Way, Farmington, NY 14425 | 2020-09-24 |
| 1306215769 | Jenna Ratka | Specialist/Technologist | 5889 King Hill Dr, Farmington, NY 14425 | 2015-09-16 |
| 1922345255 | Alissa L Waughtel | Speech-Language Pathologist | 1578 Hayride Dr, Farmington, NY 14425 | 2013-01-07 |
| 1891964870 | Heather Patricia Munger | Licensed Practical Nurse | 5773 Limestone Lane, Farmington, NY 14425 | 2008-02-25 |
| 1306904834 | Richard R Bush | Dentist | 1484 State Route 332, Farmington, NY 14425 | 2006-12-05 |
| 1811072770 | Leonard Patrick Muscarella | Dentist | 1484 Rochester Rd. Rt. 332, Farmington, NY 14425 | 2006-10-26 |
| 1922111707 | John Michael Manfred | Internal Medicine | 1160 Corporate Dr, Farmington, NY 14425 | 2006-08-16 |
| 1811970445 | Edward H Davis | Optometrist | 6081 Rte 96 S, Farmington, NY 14425 | 2005-11-29 |
| 1114900651 | Eastview Vision Inc | Technician/Technologist | 6081 Route 96 S, Ste 8, Farmington, NY 14425 | 2005-11-29 |
| 1629131248 | Millers Pharmacy of Farmington | Pharmacy | 6181 Route 96, Farmington, NY 14425-1004 | 2006-12-18 |
| Find all providers in zip 14425 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| 1073037586 | Orange County Innovators | Voluntary or Charitable | 1717 Route 17m, Goshen, NY 10924-2526 | 2017-07-27 |
| 1174059471 | Wings of A Dove Foundation | Voluntary or Charitable | 2070 E 57th St, 2 Nd Floor, Brooklyn, NY 11234-4702 | 2017-05-05 |
| 1306379706 | Jqy, Inc. | Voluntary or Charitable | 1460 Broadway, Office Number 9015, New York, NY 10036-7329 | 2017-04-04 |
| 1437690443 | Rockland Community Services | Voluntary or Charitable | 16 King Arthur Ct, New City, NY 10956-6352 | 2017-03-10 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 14425 |
Please comment or provide details below to improve the information on BRIDGES FOR BRAIN INJURY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.