National Provider Identifier
Stacy Lyn Bishoff
Stacy Lyn Bishoff is listed in the NPPES registry with a primary specialty of Community Health Worker in Freedom, NY and a listed phone number of (716) 492-0492.
Profile Overview
- NPI
- 1205171212
- Provider Type
- Individual
- Primary Specialty
- Community Health Worker
- Enumeration Date
- December 02, 2012
- Last Updated
- December 02, 2012
Practice Location
- 11622 Scotch RD
- Freedom, NY 14065-9770
Phone: (716) 492-0492
Specialties
- Community Health Worker (172V00000X)
Full Record
- NPI
- 1205171212
- Entity Type
- Individual
- Last Name
- Bishoff
- First Name
- Stacy
- Middle Name
- Lyn
- Mailing Street Address
- 11622 Scotch RD
- Mailing City
- Freedom
- Mailing State
- NY
- Mailing ZIP Code
- 14065-9770
- Mailing Country
- US
- Mailing Phone
- (716) 492-0492
- Practice Street Address
- 11622 Scotch RD
- Practice City
- Freedom
- Practice State
- NY
- Practice ZIP Code
- 14065-9770
- Practice Country
- US
- Practice Phone
- (716) 492-0492
- Enumeration Date
- December 02, 2012
- Last Updated
- December 02, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Community Health Worker (172V00000X)