Healthcare Provider Details

I. General information

NPI: 1396763512
Provider Name (Legal Business Name): STEVEN D PURRIER M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

789 DEER PARK AVE
NORTH BABYLON NY
11703-4311
US

IV. Provider business mailing address

789 DEER PARK AVE
NORTH BABYLON NY
11703-4311
US

V. Phone/Fax

Practice location:
  • Phone: 631-242-7171
  • Fax: 631-242-7834
Mailing address:
  • Phone: 631-242-7171
  • Fax: 631-242-7834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number217971
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number217971
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: