JEREMAE FAJARDO

STONY BROOK, NY
NPI1841039591
Former NameJEREMAE GONZALES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: NY  432719)
Enumeration Date2024-05-22
Last Update Date2024-08-13
Business Address
JEREMAE FAJARDO NP
101 NICOLLS RD
STONY BROOK, NY 11794-2151
Phone number: 631-689-8333
Mailing Address
JEREMAE FAJARDO NP
187 OYSTER BAY RD
LOCUST VALLEY, NY 11560-2323
Phone number: 915-593-9081