Fajardo, Bienvenido
Fajardo, Bienvenido is an sole proprietor health care provider with primary practice located at 37 Nagle Ave Apt 1D , New York NY 10040. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fajardo, Bienvenido can be contacted via phone (212) 942-0808.Contact Information
Primary practice address
37 Nagle Ave Apt 1D
New York NY 10040
Phone: (212) 942-0808
Fax: (212) 942-1553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 163674 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 163674-1 | New York |
Profile Details
| NPI number | 1528153467 |
|---|---|
| LBN Legal business name | Fajardo, Bienvenido |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Aug 23rd, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528153467 | NPPES |
| New York | MEDICAID | 1016260 |
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