Individual
DEBRA A PURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPA
Contact information
Practice address
550 MONTAUK HWY, SHIRLEY, NY 11967-2114
(631) 852-1070
(631) 852-1119
Mailing address
550 MONTAUK HWY, SHIRLEY, NY 11967-2114
(631) 852-1070
(631) 852-1119
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
3669
NY
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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