Basic Information
| Provider Information | |||||||||
| NPI: | 1639193410 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BISHOP | ||||||||
| FirstName: | GREGORY | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 OVERHILL RD | ||||||||
| Address2: | 330 | ||||||||
| City: | SCARSDALE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105835323 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147251800 | ||||||||
| FaxNumber: | 9147251840 | ||||||||
| Practice Location | |||||||||
| Address1: | 2 OVERHILL RD | ||||||||
| Address2: | 330 | ||||||||
| City: | SCARSDALE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105835323 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147251800 | ||||||||
| FaxNumber: | 9147251840 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2006 | ||||||||
| LastUpdateDate: | 09/13/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | 2170251 | NY | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.