Healthcare Provider Details
I. General information
NPI: 1780787291
Provider Name (Legal Business Name): FLOYD CLAYTON BYFIELD M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/07/2006
Last Update Date: 06/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
WESTCHESTER GASTROENTROLOGY ASSOC., PC 777 NORTH BROADWAY, SUITE # 305
SLEEPY HOLLOW NY
10591
US
IV. Provider business mailing address
WESTCHESTER GASTROENTROLOGY ASSOC., PC 777 NORTH BROADWAY, SUITE # 305
SLEEPY HOLLOW NY
10591
US
V. Phone/Fax
- Phone: 914-366-6120
- Fax: 914-366-4128
- Phone: 914-366-6120
- Fax: 914-366-4128
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | 200515 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: