Healthcare Provider Details

I. General information

NPI: 1669616694
Provider Name (Legal Business Name): BARLA R BISHOP CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BARLA R ABRAHAM CNM MS

II. Dates (important events)

Enumeration Date: 04/21/2009
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 S BEDFORD RD
MOUNT KISCO NY
10549-3412
US

IV. Provider business mailing address

90 S BEDFORD RD
MOUNT KISCO NY
10549-3412
US

V. Phone/Fax

Practice location:
  • Phone: 914-242-1370
  • Fax:
Mailing address:
  • Phone: 914-242-1370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number365
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number001469
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number2310316
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: