O'Byrne, Timothy

O'Byrne, Timothy is an sole proprietor health care provider with primary practice located at 501 Seaview Ave Suite 100, Staten Island NY 10305-3436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. O'Byrne, Timothy can be contacted via phone (718) 667-0077.

Contact Information

Primary practice address
501 Seaview Ave Suite 100 Staten Island NY 10305-3436
Phone: (718) 667-0077
Fax: (718) 667-4103
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 194645 New York

Profile Details

NPI number 1538144514
LBN Legal business name O'Byrne, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2005
Last updated May 15th, 2026 - about 6 months 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 1538144514 NPPES
New York MEDICAID 02269964

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