Individual
MELISSA BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 VINTAGE CT, MIDDLE ISLAND, NY 11953-1272
(516) 818-7288
Mailing address
5 VINTAGE CT, MIDDLE ISLAND, NY 11953-1272
(516) 818-7288
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30 307334
NY
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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