Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Fajardo

Individual provider Specialist · NPI 1104221589

Marissa Fajardo is a Specialist in Middletown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
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Practice location Address checks out

7 Rodman St
Middletown, NY 10940-3205
Phone: (845) 344-1814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 942754421 (NY)

Record details

NPI number1104221589
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 28, 2014
Last updated in NPPESOctober 28, 2014

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