Lundy, Matthew

Lundy, Matthew is an individual health care provider with primary practice located at 3584 Jerome Ave , Bronx NY 10467-1006. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Lundy, Matthew can be contacted via phone (718) 653-1537.

Contact Information

Primary practice address
3584 Jerome Ave Bronx NY 10467-1006
Phone: (718) 653-1537
Fax: (718) 882-1426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 31531 New York

Profile Details

NPI number 1730550443
LBN Legal business name Lundy, Matthew
Credentials CASAC-T
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2015
Last updated Feb 28th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730550443 NPPES
New York MEDICAID 01420795

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