Provider Demographics
NPI:1538036173
Name:PURE LIFE WELLNESS ACUPUNCTURE & PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:PURE LIFE WELLNESS ACUPUNCTURE & PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:MONITTO
Authorized Official - Suffix:
Authorized Official - Credentials:DACM, LAC
Authorized Official - Phone:631-579-1888
Mailing Address - Street 1:8 VETERANS MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-3409
Mailing Address - Country:US
Mailing Address - Phone:631-352-2051
Mailing Address - Fax:631-983-4479
Practice Address - Street 1:8 VETERANS MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-3409
Practice Address - Country:US
Practice Address - Phone:631-352-2051
Practice Address - Fax:631-983-4479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty