Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Abir Bose, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174463764

Dr. Abir Bose, MD is a Student in an Organized Health Care Education/Training Program in Port Jefferson, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 473-1320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1174463764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2026
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address75 N Country Rd, Port Jefferson, NY 11777-2119

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