Bukhari, Jalal Ud-Din
Bukhari, Jalal Ud-Din is an sole proprietor health care provider with primary practice located at 53 Betty Ann Dr , South Setauket NY 11720-1043. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Radiology, which is considered as his primary health care specialty. Bukhari, Jalal Ud-Din can be contacted via phone (631) 355-9371.Contact Information
Primary practice address
53 Betty Ann Dr
South Setauket NY 11720-1043
Phone: (631) 355-9371
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Radiology | 1223X0008X | 060812 | New York |
Profile Details
| NPI number | 1720513625 |
|---|---|
| LBN Legal business name | Bukhari, Jalal Ud-Din |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2017 |
| Last updated | Oct 3rd, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720513625 | NPPES |
| California | MEDICAID | 97664419F45226 |
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