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NPI Code Detail

MEDICARE: BISMA FATIMA ALI OD

MEDICARE: BISMA FATIMA ALI OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramNY

General Provider Information

NPI Number : 1184558561
Entity Type Code : Individual
Provider Name (Legal Business Name) : BISMA FATIMA ALI OD
Provider Business Mailing Address
First Line : 2312 6TH ST
Second Line :
City : EAST MEADOW
State : NY
Zip : 11554-1930
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 79 MIDDLEVILLE RD
Second Line :
City : NORTHPORT
State : NY
Zip : 11768-2200
Country : US
Telephone Number : 631-261-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ BISMA FATIMA ALI OD” Practice Location

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