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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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.

Request for update

Popular Providers