Individual provider · Type 1 NPI

Marissa Fajardo

Specialist · Middletown, NY

NPI number 1104221589 Active

Practice location

7 Rodman St
Middletown, NY 10940-3205

Call (845) 344-1814 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X942754421 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104221589

Marissa Fajardo's National Provider Identifier is 1104221589, issued on Oct 28, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Middletown, NY. The record was last updated on Oct 28, 2014.