Organization
FOREST HILLS SURGICAL ASSOCIATES PC
Active
Other names
FOREST HILLS SURGICAL ASSOCIATES PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL A FAJARDO MD (PRESIDENT)
(718) 544-0918
Entity
Organization
Contact information
Practice address
11042 72ND RD, FOREST HILLS, NY 11375-8303
(718) 544-0918
(718) 544-0919
Mailing address
11042 72ND RD, FOREST HILLS, NY 11375-8303
(718) 544-0918
(718) 544-0919
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
136142
NY
Other
Enumeration date
03/10/2007
Last updated
08/22/2020
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