Basic Information
| Provider Information | |||||||||
| NPI: | 1851657563 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LUNDY-WEISS | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | BRENDAN | ||||||||
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| Credential: | MD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 731 WHITE PLAINS RD | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104732631 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185898775 | ||||||||
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| Practice Location | |||||||||
| Address1: | 610 W 158TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100327104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125441860 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2012 | ||||||||
| LastUpdateDate: | 07/09/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | T1255 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 279087 | NY | N | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.