Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 338809 | NY |
NPI | 1003220724 |
---|---|
Provider Name | Mrs. Lindsay Bishop |
First Address | Rensselaer, NY 12144-5730 |
Second Address | Rensselaer, NY 12144-5730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2014 |
Last Update Date | 07/05/2021 |