Provider Demographics
NPI:1568476976
Name:HEALTHBRIDGE MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:HEALTHBRIDGE MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-627-0303
Mailing Address - Street 1:1165 NORTHERN BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3048
Mailing Address - Country:US
Mailing Address - Phone:516-627-0303
Mailing Address - Fax:516-627-0552
Practice Address - Street 1:1165 NORTHERN BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3048
Practice Address - Country:US
Practice Address - Phone:516-627-0303
Practice Address - Fax:516-627-0552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYHE0XAWNS10Medicare PIN