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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720513625 NPPES
California MEDICAID 97664419F45226

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