Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY LYN BISHOFF
Active Sole ProprietorSTACY LYN BISHOFF is a Community Health Worker healthcare provider located in FREEDOM, New York. NPI 1205171212 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · FREEDOM, NY
Registration Details
- NPI Number
- 1205171212
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 2, 2012 (13.741575563945 yrs)
- Last Updated
- Dec 2, 2012
- License
-
004379-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11622 SCOTCH RDFREEDOM, NY, 140659770Browse NY providers · Browse ZIP 14065
- Phone
- 7164920492
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.