Individual
JOHN BISHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-3332
Mailing address
1 GUSTAVE L LEVY PL # 1076, NEW YORK, NY 10029-6504
(212) 241-6694
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A202254
CA
Other
Enumeration date
04/15/2019
Last updated
10/08/2025
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