JALAL UD-DIN BUKHARI (NPI# 1720513625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720513625 |
| Entity Type | Individual |
| Full Name | JALAL UD-DIN BUKHARI |
| Practice Address |
53 Betty Ann Dr South Setauket NY 11720-1043 |
| Mailing Address |
36 Balsam Dr Hicksville NY 11801-2051 |
| Practice Telephone | 6313559371 |
| Mailing Telephone | 6313559371 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2019-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
060812 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 97664419F45226 | 05 |
| Street Address |
53 BETTY ANN DR |
| City | SOUTH SETAUKET |
| State | NY |
| Zip Code | 11720-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508409087 | Carolyn Barravecchio | Marriage & Family Therapist | 35 South Kennedy Drive, Centereach, NY 11720 | 2019-10-28 |
| 1588158406 | Robin Smith | Social Worker | 129 Dawn Drive, Centereach, NY 11720 | 2018-06-15 |
| 1154820553 | Amanda Grodewald-adler, Psy.d., Pllc | Clinic/Center | 1919 Middle Country Rd Ste 308, Centereach, NY 11720 | 2018-02-12 |
| 1760901144 | Gabrielle Tatiana Zutter | Behavior Technician | 23 Jay Road, Centerach, NY 11720 | 2017-09-16 |
| 1619401544 | Michelle Leblanc | Licensed Practical Nurse | 8 Catalina Ct, Centerreach, NY 11720 | 2017-04-18 |
| 1023557212 | Alexa Brooke Ruggiero | Student in an Organized Health Care Education/Training Program | 30 Strathmore Village Dr, South Setauket, NY 11720 | 2017-02-21 |
| 1336539519 | Rosemarie Bruno | Social Worker | 3771 Nesconset Hwy Ste 102a, South Setauket, NY 11720 | 2015-01-27 |
| 1225446115 | Kristen Kunkel | Specialist/Technologist | 26 Lily Dr, South Setauket, NY 11720 | 2014-07-24 |
| 1497175897 | Jacqueline Maddox | Student in an Organized Health Care Education/Training Program | 11 43rd Street, Centereach, NY 11720 | 2014-04-24 |
| 1336492370 | Valentina Blaine | Optometrist | 1958 Middle Country Rd, Centereach, NY 11720 | 2012-10-15 |
| Find all providers in zip 11720 | ||||
| Taxonomy Code | 1223X0008X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Radiology |
| The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134506009 | Satoko Matsumura | Dentist | 630 W 168th St Ph7 Stem-134, New York, NY 10032-3006 | 2015-04-29 |
| 1295178903 | Justin D Steinberg | Dentist | 19 Skyline Dr Rm 436, Hawthorne, NY 10532-2134 | 2013-04-11 |
| 1407005846 | Christos Angelopoulos | Dentist | 101 W End Ave, Apt #10b, New York, NY 10023-6349 | 2008-09-10 |
| 1417404146 | Niloufar Amintavakoli | Dentist | 345 E 24th St, Room # 840s, New York, NY 10010-4020 | 2016-09-11 |
| 1699853168 | Irwin Levy | Dentist | 70 E 10th St, New York, NY 10003-5102 | 2006-11-01 |
| City | SOUTH SETAUKET |
| Zip Code | 11720 |
Please comment or provide details below to improve the information on JALAL UD-DIN BUKHARI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.