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Individual

DR. TIMOTHY O'BYRNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 SEAVIEW AVE, SUITE 100, STATEN ISLAND, NY 10305-3436
(718) 667-0077
(718) 667-4103
Mailing address
501 SEAVIEW AVE, SUITE 100, STATEN ISLAND, NY 10305-3436
(718) 667-0077
(718) 667-4103

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
194645
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02269964
NY
Enumeration date
12/13/2005
Last updated
05/15/2026
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