Provider Demographics
NPI:1225278765
Name:PAMILAR, BERNARD FERNANDO (PT)
Entity Type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:FERNANDO
Last Name:PAMILAR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 48TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-1919
Mailing Address - Country:US
Mailing Address - Phone:718-765-0038
Mailing Address - Fax:718-765-0038
Practice Address - Street 1:466 48TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-1919
Practice Address - Country:US
Practice Address - Phone:718-765-0038
Practice Address - Fax:718-765-0038
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0182382251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics