| 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 |