Individual
JEANNE E BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 HARRISON ST, SUITE 117, SYRACUSE, NY 13202-3188
(315) 464-6100
(315) 464-9245
Mailing address
550 HARRISON ST, SUITE 117, SYRACUSE, NY 13202-3188
(315) 464-6100
(315) 464-9245
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
140321
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
140321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00606217
—
NY
Enumeration date
07/13/2006
Last updated
09/19/2012
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