Individual provider · Type 1 NPI
Adewale Mark Balogun, RN
General Practice Registered Nurse · Mount Sinai, NY
NPI number
1457425613
Active
Practice location
49 Grasslands Cir
Mount Sinai, NY 11766-1856
Fax (631) 666-1601
Mailing address
PO Box 5485
Bay Shore, NY 11706-0341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 2583711 (NY) |
| General Practice Registered Nurse Primary | 163WG0000X | 642609-1 (NY) |
General Practice Registered Nurse: Definition to come...
About NPI 1457425613
Adewale Mark Balogun, RN's National Provider Identifier is 1457425613, issued on Nov 20, 2006. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Mount Sinai, NY. The record was last updated on Sep 29, 2021.