Individual
MS. PAMALA JEAN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 KIMBER RD, SYRACUSE, NY 13224-1836
(315) 446-9011
Mailing address
247 COUNTY ROUTE 54, PENNELLVILLE, NY 13132-3193
(315) 695-5738
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
419648-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01447314
—
NY
Enumeration date
12/05/2006
Last updated
07/09/2007
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