Provider Demographics
NPI:1639193410
Name:BISHOP, GREGORY F (MD)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:F
Last Name:BISHOP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 OVERHILL RD
Mailing Address - Street 2:330
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5323
Mailing Address - Country:US
Mailing Address - Phone:914-725-1800
Mailing Address - Fax:914-725-1840
Practice Address - Street 1:2 OVERHILL RD
Practice Address - Street 2:330
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5323
Practice Address - Country:US
Practice Address - Phone:914-725-1800
Practice Address - Fax:914-725-1840
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2170251207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
13U971Medicare ID - Type Unspecified
NYB98836Medicare UPIN