# GLENWOOD MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glenwood Medical Neuro Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518234145
- **Authorized official:** OSAFRADU OPAM (MD)
- **Authorized official phone:** (718) 276-8666

## Contact information

- **Practice address:** 11572 FRANCIS LEWIS BLVD, CAMBRIA HEIGHTS, NY 11411-1028
- **Practice address phone:** (718) 276-8666
- **Practice address fax:** (718) 276-4158
- **Mailing address:** 11572 FRANCIS LEWIS BLVD, CAMBRIA HEIGHTS, NY 11411-1028
- **Mailing address phone:** (718) 276-8666
- **Mailing address fax:** (718) 276-4158

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2011
- **Last updated:** 11/28/2011