Organization
OLIVE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRETIOLUWA KAYODE ADEBAYO (DME PROVIDER)
(347) 860-6134
Entity
Organization
Contact information
Practice address
736 ALLERTON AVE, SUITE 210, BRONX, NY 10467-8744
(347) 860-6134
(347) 920-5144
Mailing address
736 ALLERTON AVE, SUITE 210, BRONX, NY 10467-8744
(347) 860-6134
(347) 920-5144
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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