Provider Demographics
NPI:1154653517
Name:TOBA, FOLUKE MARGARET (RD)
Entity Type:Individual
Prefix:MS
First Name:FOLUKE
Middle Name:MARGARET
Last Name:TOBA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18636 JORDAN AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11412-2308
Mailing Address - Country:US
Mailing Address - Phone:718-501-3200
Mailing Address - Fax:
Practice Address - Street 1:18636 JORDAN AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11412-2308
Practice Address - Country:US
Practice Address - Phone:718-501-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL854319133V00000X
NY006648133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered