Individual
MELISSA FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
37 NAGLE AVE, NEW YORK, NY 10040-1422
(212) 942-0808
(212) 942-1353
Mailing address
37 NAGLE AVE, NEW YORK, NY 10040-1422
(212) 942-0808
(212) 942-1553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
293407
NY
207RN0300X
Nephrology Physician
Primary
293407
NY
Other
Enumeration date
08/07/2013
Last updated
04/14/2020
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