PAMBO MEDICAL NEURO-REHABILITATION PC (NPI# 1477822138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477822138 |
| Entity Type | Organization |
| Organization Name | PAMBO MEDICAL NEURO-REHABILITATION PC |
| Practice Address |
930 Grand Concourse Suite 1j Bronx NY 10451-2705 |
| Practice Telephone | 7184105000 |
| Mailing Telephone | 7184105000 |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2016-11-30 |
| Authorized Official Name | OSAFRADU OPAM (PRESIDENT) |
| Authorized Official Telephone | 7184105000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
192310 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
930 GRAND CONCOURSE SUITE 1J |
| City | BRONX |
| State | NY |
| Zip Code | 10451-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851363519 | Elaine Williams Paulin | Podiatrist | 930 Grand Concourse, Bronx, NY 10451 | 2006-02-06 |
| 1841766250 | Chinwe Obi | Nurse Practitioner | 930 Grand Concourse, Bronx, NY 10451-2705 | 2018-10-23 |
| 1952811648 | Sarah Kathleen Patno | Physician Assistant | 930 Grand Concourse, Bronx, NY 10451-2705 | 2017-10-06 |
| 1952616724 | Srilakshmi Kadiyala | Family Medicine | 930 Grand Concourse, Apt #10e, Bronx, NY 10451-2705 | 2010-08-17 |
| 1578795266 | Madhavi Latha Nagapaga | Family Medicine | 930 Grand Concourse, Apt 2g, Bronx, NY 10451 | 2009-08-14 |
| 1174715395 | Bronx Medical Services Pllc | Clinic/Center | 930 Grand Concourse, Bronx, NY 10451-2705 | 2007-08-11 |
| 1770666125 | 930 Grand Concourse Chiropractic PC | Chiropractor | 930 Grand Concourse, Bronx, NY 10451 | 2006-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
| 1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
| 1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
| 1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
| 1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
| 1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
| 1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
| Find all providers in zip 10451 | ||||
| Taxonomy Code | 2084N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neuromuscular Medicine |
| A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255773149 | Thurman Wheeler | Psychiatry & Neurology | 601 Elmwood Ave., Box 645, Rochester, NY 14642 | 2013-07-22 |
| 1518234145 | Glenwood Medical PC | Psychiatry & Neurology | 11572 Francis Lewis Blvd, Cambria Heights, NY 11411-1028 | 2011-11-28 |
| 1043549108 | Sujata Prakash Thawani | Psychiatry & Neurology | 222 E 41st St Fl 9, New York, NY 10017-6739 | 2009-12-18 |
| 1326208166 | Anna Kogan | Psychiatry & Neurology | 333 Greene Ave, Brooklyn, NY 11238 | 2008-06-16 |
| 1669891677 | Robin Warner | Psychiatry & Neurology | 332 E 14th St, New York, NY 10003-4243 | 2014-04-08 |
| 1033537311 | Phillip C Mongiovi | Psychiatry & Neurology | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2014-04-02 |
| 1215224266 | Ikjae Lee | Psychiatry & Neurology | 710 W 168th St # Ni-3, New York, NY 10032-3726 | 2011-06-28 |
| 1730331141 | Victory Medicine PC | Psychiatry & Neurology | 25 Victory Blvd, 2nd Floor, Staten Island, NY 10301-2905 | 2008-10-16 |
| 1457523789 | David Sternman, Md, PC | Psychiatry & Neurology | 30 West 60th Street, Suite An, New York, NY 10023 | 2008-03-27 |
| 1154503571 | Neurologic Consultations Md PC | Psychiatry & Neurology | 354 E 76th St, New York, NY 10021-2505 | 2007-11-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.