Individual ProviderNicholas ByrnePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2500 Nesconset Hwy Bldg 22b, Stony Brook, NY 11790-2598(631) 751-7988PECOS EnrollmentBased on the most recent information from CMS, provider Nicholas Byrne does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1841704939Provider TypeIndividualFull NameByrne, NicholasCredentialPT, DPTGenderMaleSole ProprietorYesEnumeration Date11/28/2017Last Updated11/28/2017Contact InformationPractice LocationPractice Address2500 Nesconset Hwy Bldg 22b, Stony Brook, NY 11790-2598Phone(631) 751-7988Fax(631) 751-7989Mailing LocationMailing Address2500 Nesconset Hwy Bldg 22b, Stony Brook, NY 11790-2598PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense042618New York