Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacy Lyn Bishoff

Individual provider Community Health Worker · NPI 1205171212

Stacy Lyn Bishoff is a Community Health Worker in Freedom, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

11622 Scotch Rd
Freedom, NY 14065-9770
Phone: (716) 492-0492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 004379-1 (NY)

Record details

NPI number1205171212
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 2, 2012
Last updated in NPPESDecember 2, 2012