Most Relevant Information
Provider Data
| NPI Number: | 1003515172 |
| Provider Name: | PHYLIS S BYRNE LCSW, CASAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/28/2023 |
| Last Updated: | 02/28/2023 |
Provider Practice Location
2 KENT CT
ROCKVILLE CENTRE
NY
115704518
Practice Location Phone/Fax
| Phone: | 5167618909 |
| Fax: |
Provider Mailing Location
2 KENT CT
ROCKVILLE CENTRE
NY
115704518
Provider Mailing Phone/Fax
| Phone: | 5167618909 |
| Fax: |