Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MANUEL LICITRA FAJARDO, M.D.
Active Sole ProprietorDR. MANUEL LICITRA FAJARDO, M.D. is a Internal Medicine healthcare provider located in GARDEN CITY, New York. NPI 1831461417 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · GARDEN CITY, NY
Registration Details
- NPI Number
- 1831461417
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2012 (14.552456908018 yrs)
- Last Updated
- Jan 23, 2024
- Licenses
-
53519 (CT)53519 (CT)279410 (NY)279410 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 SOMERSET AVEGARDEN CITYGARDEN CITY, NY, 115301231Browse NY providers · Browse ZIP 11530
- Phone
- 5167414898
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Hospitalist
- Additional Specialty
- Hospitalist
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in GARDEN CITY, NY
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY AJEMIAN | M.D. | 1962407627 |
| DR. ANNAMARIA PATELLI | M.D. | 1376548032 |
| CHARLES A ANNUNZIATO | MD | 1700885316 |
| DR. FRANCISCA ARIOLA-HOPKINS | MD | 1821080698 |
| DR. IRENA SHPERLING | MD | 1477545218 |
| DR. VINCENZO MONTONI | DO | 1780676312 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.