IndividualActive
Jalal Bukhari
NPI 1720513625 · Oral and Maxillofacial Radiology Dentistry · South Setauket, NY
Provider details
- NPI number
- 1720513625
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Radiology DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 060812 (NY)
Mailing address
36 Balsam Dr
Hicksville, NY 11801-2051
Registry dates
- Enumerated
- 2017-04-28
- Last updated
- 2019-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.