Most Relevant Information
Provider Data
| NPI Number: | 1003453382 |
| Provider Name: | JOSHUA FAJARDO WILLIAM DPT, CSCS |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 044353 |
Most Important Dates
| Enumeration Date: | 12/05/2019 |
| Last Updated: | 12/05/2019 |
Provider Practice Location
210 E 64TH ST FL 5
NEW YORK
NY
100657471
Practice Location Phone/Fax
| Phone: | 2124342700 |
| Fax: |
Provider Mailing Location
240 E 27TH ST APT 20J
NEW YORK
NY
100169258
Provider Mailing Phone/Fax
| Phone: | 5598926788 |
| Fax: |