| Glenwood Medical Neuro Rehab | |
|
11572 Francis Lewis Blvd Cambria Heights NY 11411-1028 | |
| (718) 276-8666 | |
| (718) 276-4158 |
| Full Name | Glenwood Medical Neuro Rehab |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11572 Francis Lewis Blvd, Cambria Heights, New York |
| Authorized Official Name and Position | Osafradu Opam (MD) |
| Authorized Official Contact | 7182768666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenwood Medical Neuro Rehab 11572 Francis Lewis Blvd Cambria Heights NY 11411-1028 Ph: (718) 276-8666 | Glenwood Medical Neuro Rehab 11572 Francis Lewis Blvd Cambria Heights NY 11411-1028 Ph: (718) 276-8666 |
| NPI Number | 1518234145 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 11/28/2011 |
| Medicare PECOS PAC ID | 2567623192 |
|---|---|
| Medicare Enrollment ID | O20120409000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518234145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | 192310 (New York) | Primary |
| Provider Name | Osafradu A Opam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134289499 PECOS PAC ID: 1951350446 Enrollment ID: I20050122000001 |
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