William Bisordi, M.D.
Individual provider Active NPI Gastroenterology Physician · Larchmont, NY
NPI 1710276969 · NPPES record last updated Sep 14, 2011
Key facts
- NPI
- 1710276969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 122346 (NY)
- Practice address
- 151 Rockland Ave
Larchmont, NY 10538-1432 - Phone
- (914) 834-8426
- NPI assigned
- Mar 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122346 | NY | MD | Health Educator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 122346 | NY | |
| Gastroenterology Physician | 207RG0100X | 122346 | NY | Yes |
Addresses
Primary practice location
151 Rockland Ave
Larchmont, NY 10538-1432
Mailing address
151 Rockland Ave
Larchmont, NY 10538-1432
Other providers in Larchmont, NY
- Elizabeth Benner
- Carolyn N Berger
- Nancy G Berlin
- Robert Joel Berlin
- Ira Alan Berman
- Amy Lynn Bloch
- Jalark Boghra
- Kinder Bradley
- Vanessa Braithwaite
- Alexandra R Brecher
All providers in Larchmont, NY · Gastroenterology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.