Organization
OLIVE MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRETIOLUWA KAYODE ADEBAYO (OWNER)
(917) 737-7710
Entity
Organization
Contact information
Practice address
504A E TREMONT AVE, BRONX, NY 10457-4514
(917) 737-7710
(917) 737-7713
Mailing address
504A E TREMONT AVE, BRONX, NY 10457-4514
(917) 737-7710
(917) 737-7713
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1412600
NY
Other
Enumeration date
12/29/2011
Last updated
08/13/2012
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