Provider Demographics
NPI:1730311804
Name:BESAY, JODI-ANNE L (PHARM D)
Entity Type:Individual
Prefix:
First Name:JODI-ANNE
Middle Name:L
Last Name:BESAY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17005 LINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-1347
Mailing Address - Country:US
Mailing Address - Phone:718-262-9533
Mailing Address - Fax:718-262-9744
Practice Address - Street 1:17005 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-1347
Practice Address - Country:US
Practice Address - Phone:718-262-9533
Practice Address - Fax:718-262-9744
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0529151183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0529151OtherNY STATE LICENSED PHARMACIST