Healthcare Provider Details

I. General information

NPI: 1811852593
Provider Name (Legal Business Name): LYRO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3808 UNION ST 11A 13
FLUSHING NY
11354-5543
US

IV. Provider business mailing address

3808 UNION ST
FLUSHING NY
11354-5543
US

V. Phone/Fax

Practice location:
  • Phone: 929-476-6083
  • Fax: 929-476-6083
Mailing address:
  • Phone: 929-476-6083
  • Fax: 929-476-6083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: XIAOWEN GUAN
Title or Position: CEO
Credential:
Phone: 929-476-6083