Individual provider · Type 1 NPI

Abir Bose, MD

Student in an Organized Health Care Education/Training Program · Port Jefferson, NY

NPI number 1174463764 Active

Practice location

75 N Country Rd
Port Jefferson, NY 11777-2119

Call (631) 473-1320 Map

Other practice locations

  • 301 E Main St, Bay Shore, NY 11706-8408 · (163) 196-8300

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174463764

Abir Bose, MD's National Provider Identifier is 1174463764, issued on Mar 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Port Jefferson, NY. The record was last updated on Mar 31, 2026.