STACY LYN BISHOFF

FREEDOM, NY
NPI1205171212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: NY  004379-1)
Enumeration Date2012-12-02
Last Update Date2012-12-02
Business Address
-- STACY LYN BISHOFF
11622 SCOTCH RD
FREEDOM, NY 14065-9770
Phone number: 716-492-0492
Mailing Address
-- STACY LYN BISHOFF
11622 SCOTCH RD
FREEDOM, NY 14065-9770
Phone number: 716-492-0492