Individual
ABDUL JABBAR BISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
11 BAYMON DR, ROCHESTER, NY 14624-5201
(585) 520-3574
Mailing address
11 BAYMON DR, ROCHESTER, NY 14624-5201
(585) 520-3574
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
344699
NY
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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