Provider Demographics
NPI:1356155154
Name:PURE SERENITY ACUPUNCTURE WELLNESS PLLC
Entity type:Organization
Organization Name:PURE SERENITY ACUPUNCTURE WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOSTIS
Authorized Official - Suffix:
Authorized Official - Credentials:DACCHM, LAC
Authorized Official - Phone:631-983-7740
Mailing Address - Street 1:271 SECATOGUE LN
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-4700
Mailing Address - Country:US
Mailing Address - Phone:631-983-7740
Mailing Address - Fax:
Practice Address - Street 1:180 GREAT EAST NECK RD
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-7821
Practice Address - Country:US
Practice Address - Phone:631-983-7740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty