Individual provider · Type 1 NPI

Eden S. Bishop

Student in an Organized Health Care Education/Training Program · Forest Hills, NY

NPI number 1477474740 Active

Practice location

11655 Queens Blvd
Forest Hills, NY 11375-7025

Call (212) 804-7659 Map

Mailing address

11655 Queens Blvd # 11375
Forest Hills, NY 11375-7025

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477474740

Eden S. Bishop's National Provider Identifier is 1477474740, issued on Jul 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forest Hills, NY. The record was last updated on Jul 23, 2026.