Bukovsky, Rose M
Bukovsky, Rose M is an individual health care provider with primary practice located at 5225 Nesconset Hwy Suite 1, Port Jefferson Station NY 11776-2053. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bukovsky, Rose M can be contacted via phone (631) 406-6776.Contact Information
Primary practice address
5225 Nesconset Hwy Suite 1
Port Jefferson Station NY 11776-2053
Phone: (631) 406-6776
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F304902 | New York |
Profile Details
NPI number | 1962667469 |
---|---|
LBN Legal business name | Bukovsky, Rose M |
Credentials | Adult Nurse Practitioner (ANP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 23rd, 2008 |
Last updated | Jul 23rd, 2008 - about 16 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.
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