# PAMBO MEDICAL NEURO-REHABILITATION PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477822138
- **Authorized official:** OSAFRADU OPAM MD (PRESIDENT)
- **Authorized official phone:** (718) 410-5000

## Contact information

- **Practice address:** 930 GRAND CONCOURSE, SUITE 1J, BRONX, NY 10451-2705
- **Practice address phone:** (718) 410-5000
- **Mailing address:** 930 GRAND CONCOURSE, SUITE 1J, BRONX, NY 10451-2705
- **Mailing address phone:** (718) 410-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0008X | Neuromuscular Medicine (Psychiatry & Neurology) Physician | 192310 | NY | Yes |

## Other

- **Enumeration date:** 12/23/2011
- **Last updated:** 11/30/2016