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Contact Information

JOHN BISHARA
1 GUSTAVE L LEVY PL
NEW YORK, NY10029-6504
 Phone: 212-241-3332
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN BISHARA · (Male)

NPI # 1508429622
Status Active
Credentials
Entity Individual
Enumeration date 04/15/2019
Last updated 10/08/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A202254
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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