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Organization

PURE PEDIATRICS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHANEL LI DO (PHYSICIAN)
(212) 796-2196
Entity
Organization

Contact information

Practice address
60B MOTT ST, NEW YORK, NY 10013-4811
(212) 796-2196
(212) 796-2195
Mailing address
60B MOTT ST, NEW YORK, NY 10013-4811
(212) 796-2196
(212) 796-2195

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
07/15/2021
Last updated
11/09/2021
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