Provider Demographics
NPI:1114773793
Name:PURE HEALTH MEDICAL PLLC
Entity type:Organization
Organization Name:PURE HEALTH MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:SEAN
Authorized Official - Last Name:RAMSAMMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-554-1042
Mailing Address - Street 1:100 W BAYBERRY RD
Mailing Address - Street 2:
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751-4913
Mailing Address - Country:US
Mailing Address - Phone:718-554-1042
Mailing Address - Fax:
Practice Address - Street 1:1613 MERRICK RD
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-4540
Practice Address - Country:US
Practice Address - Phone:718-554-1042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty