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Contact Information

ADEWALE M BALOGUN, RN
49 GRASSLANDS CIR
MOUNT SINAI, NY11766-1856
 Phone: 631-897-8498
 Fax: 631-666-1601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

163WG0000X
 

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for ADEWALE M BALOGUN · (Male)

NPI # 1457425613
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 11/20/2006
Last updated 09/29/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 2583711
  • NY License # 642609-1
  • NY Medicaid 02151077
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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