Provider Demographics
NPI:1013103720
Name:BISCHOFF, TIM (CPO)
Entity type:Individual
Prefix:
First Name:TIM
Middle Name:
Last Name:BISCHOFF
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 N ROUTE 9W
Mailing Address - Street 2:PROSTHETIC ORTHOTIC CENTER HELEN HAYES HOSPITAL
Mailing Address - City:WEST HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10993-1127
Mailing Address - Country:US
Mailing Address - Phone:845-786-4122
Mailing Address - Fax:845-786-4941
Practice Address - Street 1:55 N ROUTE 9W
Practice Address - Street 2:PROSTHETIC ORTHOTIC CENTER HELEN HAYES HOSPITAL
Practice Address - City:WEST HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10993-1127
Practice Address - Country:US
Practice Address - Phone:845-786-4122
Practice Address - Fax:845-786-4941
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist