Provider Demographics
NPI:1467656496
Name:BYRNE, ALICIA M (PT)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:M
Last Name:BYRNE
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:155 CRYSTAL RUN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-4057
Mailing Address - Country:US
Mailing Address - Phone:845-703-6999
Mailing Address - Fax:845-703-6297
Practice Address - Street 1:219 BLOOMING GROVE TPKE
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553
Practice Address - Country:US
Practice Address - Phone:845-561-8060
Practice Address - Fax:845-561-8523
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2020-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY026213-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ398G2OtherEMPIRE BCBS OF NY PALTZ
NY141796305OtherTAX ID #
NY110559500OtherUS DEPARTMENT OF LABOR
NYQ398G1OtherEMPIRE BCBS OF NY WINDSOR
NY141796305OtherTAX ID#
NY6009818OtherMVP