Provider Demographics
NPI:1265240154
Name:LEHIGH VALLEY VOICE & AIRWAY INSTITUTE
Entity type:Organization
Organization Name:LEHIGH VALLEY VOICE & AIRWAY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAUSUMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SYAMAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-229-8229
Mailing Address - Street 1:219 N BROAD ST FL 10
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-1506
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:219 N BROAD ST FL 10
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-1506
Practice Address - Country:US
Practice Address - Phone:215-762-5530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty