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NPI Code Detail

MEDICARE: DR. MICHAEL RICHARD BYRNE M.D.

MEDICARE: DR. MICHAEL RICHARD BYRNE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician224203NY

General Provider Information

NPI Number : 1760482566
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL RICHARD BYRNE M.D.
Provider Business Mailing Address
First Line : 110 LEXINGTON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10016-8926
Country : US
Telephone Number : 212-655-9502
Fax Number :
Provider Business Practice Location Address
First Line : 4802 10TH AVE
Second Line : DEPARTMENT OF MEDICINE
City : BROOKLYN
State : NY
Zip : 11219-2844
Country : US
Telephone Number : 718-283-6245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 07/08/2007

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