Individual
ANDREA BUKALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1111 FRANKLIN AVE, GARDEN CITY, NY 11530-1617
(516) 344-0165
Mailing address
21 BARSTOW RD APT 2F, GREAT NECK, NY 11021-2203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024776
NY
Other
Enumeration date
10/24/2020
Last updated
12/09/2025
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