33D1097125 CLIA NUMBER - PAUL R BYRNE, MD PC SQUARE CARE

Laboratory Demographics

CLIA Number: 33D1097125

Facility Name: PAUL R BYRNE, MD PC SQUARE CARE

Facility Address:
300 OLD COUNTRY ROAD, PENTHOUSE
MINEOLA, NY
ZIP 11501
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Facility Phone Number: 516 747-9232

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275792608

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	33D1097125
LAB Type	Physician Office
Facility Name	PAUL R BYRNE, MD PC SQUARE CARE
Street	300 OLD COUNTRY ROAD, PENTHOUSE
City	MINEOLA
State	NY
ZIP	11501
Phone	516 747-9232
CertificateType	4
CertificateEffectiveDate	5/9/2024
CertificateExpirationDate	5/8/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024