Individual provider · Type 1 NPI

Delina Lila Fajardo, RPA-C

Physician Assistant · Far Rockaway, NY

NPI number 1154414100 Active

Practice location

1612 Central Ave Ste 201
Far Rockaway, NY 11691-4002

Call (718) 831-2755 Map

Mailing address

3343 Port Royale Dr S Apt 101
Fort Lauderdale, FL 33308-7933

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X007052 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1154414100

Delina Lila Fajardo, RPA-C's National Provider Identifier is 1154414100, issued on Oct 2, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Far Rockaway, NY. The record was last updated on Jul 28, 2026.