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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245868611

Tia Bimal is a Student in an Organized Health Care Education/Training Program in Port Jefferson, New York. Registered with an NPI since 2020.

In the registry since
2020
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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.

Specialties & licences

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

Record details

NPI number1245868611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020
Mailing address75 N Country Rd, Port Jefferson, NY 11777-2119

Other providers in Port Jefferson