| NPI | 1437210119 |
|---|---|
| Doing Business As | JOLADE MEDICAL AND REHAB.P.C. |
| Entity Type | Organization |
| Authorized Contact | THOMAS OMOTOLA TEYIBO Director 347-427-2953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: NY 125979) |
| Additional Taxonomies | 261Q00000X (Licence: NY 215979) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2018-06-29 |