Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leslie Raphaelle Balogun

Individual provider Registered Nurse · NPI 1336068428

Leslie Raphaelle Balogun is a Registered Nurse in Jamaica, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

17114 103rd Rd
Jamaica, NY 11433-1708
Phone: (718) 607-8751
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence N42753 (NY)

Record details

NPI number1336068428
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 13, 2026
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026
Mailing address17114 103rd Rd, Jamaica, NY 11433-1708

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