Organization
PURE PODIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKA HIRANO (PRESIDENT)
(248) 320-0502
Entity
Organization
Contact information
Practice address
501 5TH AVE RM 506, NEW YORK, NY 10017-7838
(212) 921-7900
Mailing address
28 BRISTOL DR, MANHASSET, NY 11030-3944
(248) 320-0502
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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