Pantry, Jodiann

Pantry, Jodiann is an individual health care provider with primary practice located at 17 Laurel Rd E , Mastic Beach NY 11951-5708. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Pantry, Jodiann can be contacted via phone (718) 600-7437.

Contact Information

Primary practice address
17 Laurel Rd E Mastic Beach NY 11951-5708
Phone: (718) 600-7437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1285368456
LBN Legal business name Pantry, Jodiann
Credentials ED.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2022
Last updated Jul 31st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers