MEDICARE: MS. SHERRY H SATIN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	RO28992	NY
2	104100000X	Social Worker
3	104100000X	Social Worker	RO28992-1

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457366221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHERRY H SATIN LCSW

Provider Business Mailing Address
First Line	:	104 GAIR STREET
Second Line	:
City	:	PIERMONT
State	:	NY
Zip	:	10968-1098
Country	:	US
Telephone Number	:	845-398-3640
Fax Number	:	845-398-0942

Provider Business Practice Location Address
First Line	:	104 GAIR STREET
Second Line	:
City	:	PIERMONT
State	:	NY
Zip	:	10968-1098
Country	:	US
Telephone Number	:	845-398-3640
Fax Number	:	845-398-0942

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	08/25/2014

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