Organization
JOLADE MEDICAL & REHAB.P.C.
Active
Organization
JOLADE MEDICAL & REHAB.P.C.
Active
Other names
jolade medical and rehab.p.c.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS OMOTOLA TEYIBO M.D (DIRECTOR)
(347) 427-2953
Entity
Organization
Contact information
Practice address
1135 ALLERTON AVE, BRONX, NY 10469
(347) 427-2953
(347) 427-2953
Mailing address
1135 ALLERTON AVE, BRONX, NY 10469-5316
(347) 427-2953
(347) 427-2953
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
125979
NY
261Q00000X
Clinic/Center
215979
NY
Other
Enumeration date
12/13/2006
Last updated
06/29/2018
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