Healthcare Provider Details

I. General information

NPI: 1184923898
Provider Name (Legal Business Name): DANIEL EDWARD SAMMARTINO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2011
Last Update Date: 09/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 LONGVIEW AVE FL 2
WHITE PLAINS NY
10601-5000
US

IV. Provider business mailing address

300 COMMUNITY DR
MANHASSET NY
11030-3816
US

V. Phone/Fax

Practice location:
  • Phone: 914-849-7600
  • Fax: 914-849-7696
Mailing address:
  • Phone: 516-562-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number267392
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number267392
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: