DR. ABIR BOSE MD
NPI 1174463764
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY

Active since March 31, 2026
75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 473-1320 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Abir Bose Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ABIR BOSE MD (NPI 1174463764) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since March 2026. He maintains a secondary practice location in Bay Shore.

NPPES Registry Identity

NPI1174463764
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ABIR BOSECredential: MD
Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119
Mailing Address75 N Country RdPort Jefferson, NY 11777-2119 · (631) 473-1320
Sole ProprietorNo
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
NPI 1174463764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
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.
75 N COUNTRY RD, Port Jefferson, NY 11777

Secondary Practice Location 1

Location 1301 E Main StBay Shore, NY 11706-8408 · Phone (163) 196-8300

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Dermatology
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Physician Assistant
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Nurse Practitioner (Family)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abir Bose's NPI number?

The NPI number for Abir Bose is 1174463764. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Where is Abir Bose located?

Abir Bose practices at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 473-1320.

What is Abir Bose's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Abir Bose was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.