Individual
MS. TAMARA BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1384 BROADWAY ST, BUFFALO, NY 14212-1808
(716) 894-9672
(716) 894-9676
Mailing address
1384 BROADWAY ST, BUFFALO, NY 14212-1808
(716) 894-9672
(716) 894-9676
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
292042
NY
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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