Individual
MICHAEL JOHN BISCHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
37 HAVEMEYER LN, COMMACK, NY 11725-2031
(631) 708-9160
Mailing address
37 HAVEMEYER LN, COMMACK, NY 11725-2031
(631) 708-9160
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/08/2020
Last updated
05/12/2021
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