Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ADEWALE MARK BALOGUN, RN
Active Sole ProprietorGeneral Practice Nurse · MOUNT SINAI, NY
Registration Details
- NPI Number
- 1457425613
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2006 (19.444087204672 yrs)
- Last Updated
- Sep 29, 2021
- Licenses
-
2583711 (NY)642609-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
49 GRASSLANDS CIRMOUNT SINAI, NY, 117661856Browse NY providers · Browse ZIP 11766
- Phone
- 6318978498
- Fax
- 6316661601
- Primary Specialty
-
General Practice Nurse
163WG0000X
- Additional Specialty
- General Practice Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.