Provider Demographics
NPI:1053750158
Name:BISHOP, ROBIN LYNN (LPN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNN
Last Name:BISHOP
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10306 217 ST QUEENS VILLAGE
Mailing Address - Street 2:APT 1
Mailing Address - City:QUEENS
Mailing Address - State:NY
Mailing Address - Zip Code:11429-1131
Mailing Address - Country:US
Mailing Address - Phone:347-232-1757
Mailing Address - Fax:718-467-2467
Practice Address - Street 1:518 KISSEL AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-2631
Practice Address - Country:US
Practice Address - Phone:718-981-9606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY295962164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse