Marissa Fajardo
NPI #1104221589 in Middletown, New York
Provider Information
- NPI Number
- 1104221589
- Entity Type
- Individual
- Name
- Marissa Fajardo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 28, 2014
- Last Updated
- Oct 28, 2014
Practice Location
- Address
- 7 RODMAN ST
- City
- Middletown
- State
- New York
- ZIP Code
- 10940-3205
- Phone
- (845) 344-1814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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