Individual
MRS. LORI LEE PURIFICATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SPECIALIST
Contact information
Practice address
14202 20TH AVE, FLUSHING, NY 11351-3000
(917) 563-3350
Mailing address
14202 20TH AVE, FLUSHING, NY 11351-3000
(917) 563-3350
(631) 920-8466
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-1333
NY
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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