Mrs Shaquetta A Pantry, LPN | |
12511 149th Ave, South Ozone Park, NY 11420-3717 | |
(631) 379-6041 | |
Not Available |
Full Name | Mrs Shaquetta A Pantry |
---|---|
Gender | Female |
Speciality | Licensed Vocational Nurse |
Location | 12511 149th Ave, South Ozone Park, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083458145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | 339939 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Shaquetta A Pantry, LPN 12511 149th Ave, South Ozone Park, NY 11420-3717 Ph: (631) 379-6041 | Mrs Shaquetta A Pantry, LPN 12511 149th Ave, South Ozone Park, NY 11420-3717 Ph: (631) 379-6041 |
Seronica Renee Bradley, LPN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 11440 Van Wyck Expy, South Ozone Park, NY 11420 Phone: 718-322-3455 Fax: 718-848-4152 | |
Jennifer Tomlinson, LPN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 11440 Van Wyck Expy, South Ozone Park, NY 11420 Phone: 718-322-3455 Fax: 718-848-4152 |