Individual provider · Type 1 NPI

Bisma Fatima Ali, OD

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

NPI number 1184558561 Active

Practice location

79 Middleville Rd
Northport, NY 11768-2200

Call (631) 261-4400 Map

Mailing address

2312 6th St
East Meadow, NY 11554-1930

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 1184558561

Bisma Fatima Ali, OD's National Provider Identifier is 1184558561, issued on Jun 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Northport, NY. The record was last updated on Jun 10, 2026.