Byrne, Lucienne M

Byrne, Lucienne M is an individual health care provider with primary practice located at 129 Fisher Ave , Staten Island NY 10307-1309. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Byrne, Lucienne M can be contacted via phone (718) 356-3788.

Contact Information

Primary practice address
129 Fisher Ave Staten Island NY 10307-1309
Phone: (718) 356-3788
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X R053397-1 New York

Profile Details

NPI number 1457300766
LBN Legal business name Byrne, Lucienne M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Dec 13th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457300766 NPPES
New York MEDICAID 02500003

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