Provider Demographics
NPI:1831497221
Name:BYRNES MEDICAL, LLP
Entity Type:Organization
Organization Name:BYRNES MEDICAL, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-415-7794
Mailing Address - Street 1:7 DORCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-3009
Mailing Address - Country:US
Mailing Address - Phone:718-788-5050
Mailing Address - Fax:718-768-2770
Practice Address - Street 1:296 7TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-7249
Practice Address - Country:US
Practice Address - Phone:718-788-5050
Practice Address - Fax:718-768-2770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138791207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty