Provider Demographics
NPI:1689682437
Name:BYER, ERROLL I
Entity Type:Individual
Prefix:
First Name:ERROLL
Middle Name:I
Last Name:BYER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 FULTON ST
Mailing Address - Street 2:ADMINISTRATION
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217
Mailing Address - Country:US
Mailing Address - Phone:718-596-9800
Mailing Address - Fax:718-596-9889
Practice Address - Street 1:650 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217
Practice Address - Country:US
Practice Address - Phone:718-596-9800
Practice Address - Fax:718-596-9889
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217043207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
112467268-BY01OtherCAREPLUS
217043OtherHIP
40426029652OtherFIDELIS
HMO-2645172OtherAETNA
116710101OtherHEALTHPLUS/CHILD
87671PPO-0297354OtherGHI
P2973565OtherOXFORD
240647OtherWELLCARE
SP10964OtherCENTER CARE/CHP
0100079-02OtherAMERICHOICE
16P0393OtherNYPRESCHP
217043B21OtherHEALTHFIRST
PPO 7007192OtherAETNA