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Individual
MRS. STACY LYNN BYRNE
Active
Individual
MRS. STACY LYNN BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010820
NY
363AM0700X
Medical Physician Assistant
010820
NY
363AS0400X
Surgical Physician Assistant
010820
NY
363L00000X
Nurse Practitioner
10820
NY
Other
Enumeration date
08/28/2006
Last updated
06/28/2023
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