Individual provider · Type 1 NPI
Michael Edward Bombard
Addiction (Substance Use Disorder) Counselor · Eagle Bridge, NY
NPI number
1023976875
Active
Practice location
259 State Line Rd, 259 State Line Rd
Eagle Bridge, NY 12057-3142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1023976875
Michael Edward Bombard's National Provider Identifier is 1023976875, issued on Jan 12, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eagle Bridge, NY. The record was last updated on Jan 12, 2026.