| Doctor Name: | DR. JOSEPH L PANDO |
| NPI Number: | 1356477509 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 8443-1 |
| Business Practice Address: | 105 Hillside Ave Williston Park, NY - 115962311 |
| Business Phone Number: | 5168772005 |
| Business Fax Number: | 5167390079 |
| Mailing Address: | 109 Meadbrook Rd, GARDEN CITY |
| State: | NY |
| Postal Code: | 115302601 |
| Phone Number: | 5167390079 |
| Fax Number: | 5167390079 |
| NPI Enumeration Date: | 02/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 8443-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |