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Jalal Ud-din Bukhari
Oral and Maxillofacial Radiology Dentist in South Setauket, New York
NPI 1720513625

Jalal Ud-din Bukhari is a Oral and Maxillofacial Radiology Dentist based in Hicksville, NY and is specialized in Oral and Maxillofacial Radiology. Jalal Ud-din Bukhari practices in South Setauket, NY. The NPI Number for Jalal Ud-din Bukhari is 1720513625 and holds a License No. 060812 (New York).

The current practice location address for Jalal Ud-din Bukhari is 53 Betty Ann Dr, South Setauket, NY and can be reached out via phone at 631-355-9371.

Location: 53 Betty Ann Dr, South Setauket, NY, 11801-2051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720513625
Provider Name
Jalal Ud-din Bukhari
Credential
Provider Entity Type
Individual
Gender
Male
Address
53 Betty Ann Dr, South Setauket, NY, 11801-2051
Phone Number
631-355-9371
Fax Number
Provider Enumeration Date
04/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
97664419F45226 05 CA
institution
Provider Business Practice Location Address Details
Address
53 Betty Ann Dr
City
South Setauket
State
New York
Zip
11720-1043
Phone Number
631-355-9371
Fax Number
person
Provider Business Mailing Address Details
Address
53 Betty Ann Dr
City
South Setauket
State
New York
Zip
11720-1043
Phone Number
631-355-9371
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Radiology
Taxonomy
1223X0008X
License No.
060812 (New York)
Definition
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.
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