Provider Demographics
NPI:1477174472
Name:ASTYRA CORPORATION
Entity Type:Organization
Organization Name:ASTYRA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMURL
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:804-433-1111
Mailing Address - Street 1:411 E FRANKLIN ST STE 105
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-2243
Mailing Address - Country:US
Mailing Address - Phone:804-433-1111
Mailing Address - Fax:804-433-1102
Practice Address - Street 1:411 E FRANKLIN ST STE 105
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-2243
Practice Address - Country:US
Practice Address - Phone:804-433-1111
Practice Address - Fax:804-433-1102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-30
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare