MICHAEL EDWARD BOMBARD NPI 1023976875

NPI Information

  • NPI: 1023976875
  • Provider Name: MICHAEL EDWARD BOMBARD
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 259 STATE LINE RD
    259 STATE LINE RD
    EAGLE BRIDGE, NY
    ZIP 12057
  • Phone: (518) 450-8842

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NPI Details

Michael Edward Bombard is an addiction (substance use disorder) counselor in Eagle Bridge, NY. Michael Edward Bombard NPI is 1023976875. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

259 STATE LINE RD
259 STATE LINE RD
EAGLE BRIDGE, NY
ZIP 12057-142
Phone: (518) 450-8842

The enumeration date for this NPI number is 1/12/2026 and was last updated on 1/12/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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