Healthcare Provider Details

I. General information

NPI: 1528878048
Provider Name (Legal Business Name): PURE LIFE ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2025
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 VETERANS MEMORIAL HWY STE A
COMMACK NY
11725-3409
US

IV. Provider business mailing address

8 VETERANS MEMORIAL HWY
COMMACK NY
11725-3409
US

V. Phone/Fax

Practice location:
  • Phone: 631-352-2051
  • Fax: 631-983-4479
Mailing address:
  • Phone: 631-352-2051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DEAN K MONITTO
Title or Position: PRESIDENT
Credential: DACM, LAC.
Phone: 631-579-1888