Provider Demographics
NPI:1841552122
Name:LYDIA SIT MD, PLLC
Entity type:Organization
Organization Name:LYDIA SIT MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-260-8557
Mailing Address - Street 1:110 BALA AVE
Mailing Address - Street 2:3RD FLOOR SUITE
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3032
Mailing Address - Country:US
Mailing Address - Phone:856-553-7748
Mailing Address - Fax:610-664-1726
Practice Address - Street 1:110 BALA AVE
Practice Address - Street 2:3RD FLOOR SUITE
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3032
Practice Address - Country:US
Practice Address - Phone:856-553-7748
Practice Address - Fax:610-664-1726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4342472084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty