Provider Demographics
NPI:1366570327
Name:BYRNES, DENISE SCHAEFER (RN)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:SCHAEFER
Last Name:BYRNES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 RUSKEY LN
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12538-3018
Mailing Address - Country:US
Mailing Address - Phone:845-229-0062
Mailing Address - Fax:
Practice Address - Street 1:144 RUSKEY LN
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12538-3018
Practice Address - Country:US
Practice Address - Phone:845-229-0062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY278534-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02668808Medicaid