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General NPI Number Information
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NPI Number | 1619845690
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Entity Type | Organization
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Legal Business Name | DR. OSAFRADU OPAM MD, PC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 9713 101ST AVE
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City | OZONE PARK
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State | NY
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Zip | 11416-2523
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Country | US
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Telephone | 929-594-4801
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Fax |
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Provider Business Mailing Address
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Address Line | 11572 FRANCIS LEWIS BLVD
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City | CAMBRIA HEIGHTS
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State | NY
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Zip | 11411-1028
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Country | US
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Telephone | 718-276-8666
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Fax | 718-276-4158
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OSAFRADU OPAM
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Credential | MD
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Telephone | 917-698-3732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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