Healthcare Provider Details

I. General information

NPI: 1871395681
Provider Name (Legal Business Name): LYNN CUNADO, M.D., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 SUMMER ST STE 1A
STAMFORD CT
06905-5149
US

IV. Provider business mailing address

9 CHELSEA PL APT 1L
GREAT NECK NY
11021-3265
US

V. Phone/Fax

Practice location:
  • Phone: 203-323-8171
  • Fax: 203-323-7122
Mailing address:
  • Phone: 646-239-6034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LYNN NAYONA CUNADO
Title or Position: PEDIATRICIAN
Credential: MD
Phone: 646-239-6034