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Organization
PURE MEDICAL SERVICES PC
Active
Organization
PURE MEDICAL SERVICES PC
Active
Other names
Pure Medical Services PC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RENU GILL IC (IC)
(718) 640-3960
Entity
Organization
Contact information
Practice address
2000 N VILLAGE AVE STE 202, ROCKVILLE CENTRE, NY 11570
(347) 804-7277
Mailing address
79 S 3RD ST, BETHPAGE, NY 11714-2605
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
06/08/2018
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