Individual provider · Type 1 NPI

Rose M. Bukovsky, ANP

Adult Health Nurse Practitioner · Port Jefferson Station, NY

NPI number 1962667469 Active

Practice location

5225 Nesconset Hwy, Suite 1
Port Jefferson Station, NY 11776-2053

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF304902 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1962667469

Rose M. Bukovsky, ANP's National Provider Identifier is 1962667469, issued on Jul 23, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 23, 2008.