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Ahmed Balogun

Student in an Organized Health Care Education/Training Program in Astoria, NY. Individual provider (NPI-1).

NPI number1114339199
StatusActive
Last updated in NPPESMay 27, 2014

Details

NPI
1114339199
Entity type
Individual (NPI-1)
Name
Ahmed Balogun
Sex
Male
Sole proprietor
Yes
Enumeration date
May 27, 2014
Last updated
May 27, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

2534 Steinway St
Astoria, NY 11103-3702

Phone 718-777-5243

Mailing address

2534 Steinway St
Astoria, NY 11103-3702

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