Provider Demographics
NPI:1598275604
Name:LUNDY, ESMERALDA MARIE (ANP)
Entity Type:Individual
Prefix:MISS
First Name:ESMERALDA
Middle Name:MARIE
Last Name:LUNDY
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15650 77TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-2506
Mailing Address - Country:US
Mailing Address - Phone:347-724-6357
Mailing Address - Fax:
Practice Address - Street 1:818 STERLING PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-3904
Practice Address - Country:US
Practice Address - Phone:718-735-6660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF308227-1363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care