| 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 |