Provider Demographics
NPI:1942712716
Name:BISHOP, GAIL-ANN (MS, MSED)
Entity Type:Individual
Prefix:
First Name:GAIL-ANN
Middle Name:
Last Name:BISHOP
Suffix:
Gender:F
Credentials:MS, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 AVENUE D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-5819
Mailing Address - Country:US
Mailing Address - Phone:718-629-1670
Mailing Address - Fax:
Practice Address - Street 1:4801 AVENUE D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-5819
Practice Address - Country:US
Practice Address - Phone:718-629-1670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY295870174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist