Organization
BISHOP MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL E OTTONG MD (PRESIDENT)
(718) 523-7186
Entity
Organization
Contact information
Practice address
8515 MAIN ST, BRIARWOOD, NY 11435-1879
(718) 523-7186
(718) 206-1370
Mailing address
8515 MAIN ST, BRIARWOOD, NY 11435-1879
(718) 523-7186
(718) 206-1370
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
244387
NY
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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