Individual
AHMED BALOGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2534 STEINWAY ST, ASTORIA, NY 11103-3702
(718) 777-5243
Mailing address
2534 STEINWAY ST, ASTORIA, NY 11103-3702
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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