Provider Demographics
NPI:1497806400
Name:BYRNE, JOSEPHINE CARMEN (CNM)
Entity Type:Individual
Prefix:MS
First Name:JOSEPHINE
Middle Name:CARMEN
Last Name:BYRNE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:501 RIVERDALE AVE
Mailing Address - Street 2:2A
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-3583
Mailing Address - Country:US
Mailing Address - Phone:917-578-0504
Mailing Address - Fax:718-579-1740
Practice Address - Street 1:545 E 142ND ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10454-2110
Practice Address - Country:US
Practice Address - Phone:718-579-1738
Practice Address - Fax:718-579-1740
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000347-1367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife