Marissa Fajardo
Specialist in Middletown, New York
1104221589- Practice location
- 7 Rodman St, Middletown, NY 10940-3205
- Phone
- 845-344-1814
- Fax
- —
- Last updated
- October 28, 2014
Marissa Fajardo is a Specialist based in Middletown, NY. Marissa Fajardo practices in Middletown, NY. The NPI Number for Marissa Fajardo is 1104221589 and holds a License No. 942754421 (NY). The current practice location address for Marissa Fajardo is 7 Rodman St, Middletown, NY 10940-3205 and can be reached out via phone at 845-344-1814.
Provider Profile Details
- NPI Number
- 1104221589
- Provider Name
- Marissa Fajardo
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 7 Rodman St, Middletown, NY 10940-3205
- Phone Number
- 845-344-1814
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 28, 2014
- Last Update Date
- October 28, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7 Rodman St
Middletown, NY 10940-3205 - City
- Middletown
- State
- New York
- Zip
- 10940-3205
- Phone Number
- 845-344-1814
Provider Business Mailing Address Details
- Address
- 7 Rodman St
Middletown, NY 10940-3205 - City
- Middletown
- State
- NY
- Zip
- 10940-3205
- Phone Number
- 845-344-1814
License Information
- License Number
- 942754421
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Middletown, NY
View all Specialists in Middletown →Frequently Asked Questions
What is the NPI number of Marissa Fajardo?
The NPI number of Marissa Fajardo is 1104221589. It was assigned on October 28, 2014 and is currently active in the NPPES registry.
What is the specialty of Marissa Fajardo?
Marissa Fajardo is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 942754421.
Where does Marissa Fajardo practice?
The practice location is 7 Rodman St, Middletown, NY 10940-3205. The office can be reached at 845-344-1814 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104221589 directly on the NPPES registry website.