Provider Demographics
NPI:1104475078
Name:LIMARDO, ESMERALDA AMANDA
Entity type:Individual
Prefix:
First Name:ESMERALDA
Middle Name:AMANDA
Last Name:LIMARDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 SEDGWICK AVE APT 5J
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-6611
Mailing Address - Country:US
Mailing Address - Phone:347-607-8373
Mailing Address - Fax:
Practice Address - Street 1:1750 SEDGWICK AVE APT 5J
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-6611
Practice Address - Country:US
Practice Address - Phone:347-607-8373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker