Individual provider · Type 1 NPI

Manuel A. Fajardo, MD

Surgical Oncology Physician · Forest Hills, NY

NPI number 1578550950 Active

Practice location

11042 72nd Rd
Forest Hills, NY 11375-8303

Fax (718) 544-0919

Mailing address

111 Cherry Valley Ave, Apt 418
Garden City, NY 11530-1573

Specialties and licenses

TaxonomyCodeLicense
Surgical Oncology Physician Primary 2086X0206X136142 (NY)

Surgical Oncology Physician: A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

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About NPI 1578550950

Manuel A. Fajardo, MD's National Provider Identifier is 1578550950, issued on Sep 30, 2005. The primary taxonomy on file is Surgical Oncology Physician (2086X0206X), and the practice location is in Forest Hills, NY. The record was last updated on Jul 13, 2026.