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Mr. Adewale Mark Balogun, RN
General Practice Registered Nurse in Mount Sinai, New York
NPI 1457425613

Adewale Mark Balogun is a General Practice Registered Nurse based in Bay Shore, NY and is specialized in General Practice. Adewale Mark Balogun practices in Mount Sinai, NY and has the professional credentials of RN. The NPI Number for Adewale Mark Balogun is 1457425613 and holds a License No. 2583711 (New York).

The current practice location address for Adewale Mark Balogun is 49 Grasslands Cir, Mount Sinai, NY and can be reached out via phone at 631-897-8498 and via fax at 631-666-1601.

Location: 49 Grasslands Cir, Mount Sinai, NY, 11706-0341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457425613
Provider Name
Adewale Mark Balogun
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
49 Grasslands Cir, Mount Sinai, NY, 11706-0341
Phone Number
631-897-8498
Fax Number
631-666-1601
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02151077 05 NY
institution
Provider Business Practice Location Address Details
Address
49 Grasslands Cir
City
Mount Sinai
State
New York
Zip
11766-1856
Phone Number
631-897-8498
Fax Number
631-666-1601
person
Provider Business Mailing Address Details
Address
49 Grasslands Cir
City
Mount Sinai
State
New York
Zip
11766-1856
Phone Number
631-897-8498
Fax Number
631-666-1601
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
642609-1 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
2583711 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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