Individual
MICHAEL BYRNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-3602
(516) 562-3607
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-1820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
433369
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F-303393-1
NY
Other
Enumeration date
09/19/2006
Last updated
09/22/2016
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