Provider Demographics
NPI:1225019482
Name:BYRNE, SABRINA LYN (ATC)
Entity Type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:LYN
Last Name:BYRNE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:392 STATE ST
Mailing Address - Street 2:APT 11F
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-3172
Mailing Address - Country:US
Mailing Address - Phone:845-494-1780
Mailing Address - Fax:
Practice Address - Street 1:12 BERSHIRE RD
Practice Address - Street 2:
Practice Address - City:SANDY HOOK
Practice Address - State:CT
Practice Address - Zip Code:06482
Practice Address - Country:US
Practice Address - Phone:845-494-1780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer