Provider Demographics
NPI:1033876917
Name:LUNDY, FRANTZ (MSED, SBL, SDL)
Entity Type:Individual
Prefix:
First Name:FRANTZ
Middle Name:
Last Name:LUNDY
Suffix:
Gender:M
Credentials:MSED, SBL, SDL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 SPENCER AVE
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-3426
Mailing Address - Country:US
Mailing Address - Phone:646-269-9235
Mailing Address - Fax:
Practice Address - Street 1:68 E 131ST ST STE 502
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-2904
Practice Address - Country:US
Practice Address - Phone:917-690-9893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-26
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst