Individual
CAROL GRACE BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
180 ADAMS ST E, EAST ISLIP, NY 11730-1624
(631) 219-0947
Mailing address
180 ADAMS ST E, EAST ISLIP, NY 11730-1624
(631) 219-0947
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
348646
NY
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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