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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JALAL UD-DIN BUKHARI

Active Sole Proprietor

JALAL UD-DIN BUKHARI is a Oral & Maxillofacial Pathology healthcare provider located in SOUTH SETAUKET, New York. NPI 1720513625 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Pathology · SOUTH SETAUKET, NY

Registration Details

NPI Number
1720513625
Provider Type
Individual
Gender
Male
NPI Issued
Apr 28, 2017 (9.1137493763773 yrs)
Last Updated
Oct 3, 2019
License
060812 (NY)
Sole Proprietor
Yes

Practice Information

Address
53 BETTY ANN DR
SOUTH SETAUKET, NY, 117201043
Browse NY providers · Browse ZIP 11720
Phone
6313559371
Primary Specialty
Oral & Maxillofacial Pathology
1223X0008X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.