Individual
DR. JEANNA PAGNOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
109 N 12TH ST STE 507, BROOKLYN, NY 11249-1002
(917) 822-3660
Mailing address
64 BAYARD ST APT PHC, BROOKLYN, NY 11222-5513
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
023389
NY
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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