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Individual

JAMES BISHOP JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8002 KEW GARDENS RD STE 704, KEW GARDENS, NY 11415-3607
(718) 520-1513
Mailing address
111 W 126TH ST APT 3A, NEW YORK, NY 10027-4496

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29895
NY
104100000X
Social Worker
099587
NY

Other

Enumeration date
08/15/2017
Last updated
07/21/2022
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