Susan Bukala
Registered Nurse in Woodside, NY. Individual provider (NPI-1).
NPI number1366041535
StatusActive
Last updated in NPPESOct 20, 2020
Details
- NPI
- 1366041535
- Entity type
- Individual (NPI-1)
- Name
- Susan Bukala
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2020
- Certification date
- Oct 20, 2020
- Last updated
- Oct 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 778002 | NY | Yes |
Practice location
5164 72nd PlWoodside, NY 11377-7638
Phone 917-754-2050
Mailing address
5164 72nd PlWoodside, NY 11377-7638
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 62 Registered Nurse providers in Woodside · All 1,337 providers in Woodside
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