Provider Demographics
NPI:1275819922
Name:CUNADO, LYNN NAYONA (MD)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:NAYONA
Last Name:CUNADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 SUMMER ST UNIT 101
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5150
Mailing Address - Country:US
Mailing Address - Phone:203-323-8171
Mailing Address - Fax:203-323-7122
Practice Address - Street 1:1515 SUMMER ST UNIT 101
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5150
Practice Address - Country:US
Practice Address - Phone:203-323-8171
Practice Address - Fax:203-323-7122
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08798500208000000X
NY268149208000000X
CT54469208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0283681Medicaid