# DOSU MEDICAL PC

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

## Provider details

- **NPI number:** 1801243183
- **Authorized official:** DR. THOMAS OMOTOLA TEYIBO M.D (PRESIDENT)
- **Authorized official phone:** (347) 265-1986

## Contact information

- **Practice address:** 1150 WEBSTER AVE, SUITE 2, BRONX, NY 10456-5205
- **Practice address phone:** (347) 271-7666
- **Mailing address:** 1135 ALLERTON AVE, BRONX, NY 10469-5316
- **Mailing address phone:** (347) 427-2953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2016
- **Last updated:** 01/12/2017