Individual
DR. MANUEL A FAJARDO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11042 72ND RD, FOREST HILLS, NY 11375-8303
(718) 544-0918
(718) 544-0919
Mailing address
111 CHERRY VALLEY AVE, APT 418, GARDEN CITY, NY 11530-1573
(516) 741-4898
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
136142
NY
Other
Enumeration date
09/30/2005
Last updated
01/16/2020
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