Debra A Pure, CRPA

NPI #1790329951 in Shirley, New York

Provider Information

NPI Number: 1790329951
Entity Type: Individual
Name: Debra A Pure, CRPA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CRPA
Enumeration Date: Oct 31, 2019
Last Updated: Oct 31, 2019

Practice Location

Address: 550 MONTAUK HWY
City: Shirley
State: New York
ZIP Code: 11967-2114
Phone: (631) 852-1070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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