MEDICARE: MR. GERALD DENNIS SAMMARTANO 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	R-027037-1	NY

General Provider Information

NPI Number	:	1477522829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GERALD DENNIS SAMMARTANO LCSW

Provider Business Mailing Address
First Line	:	12 DEEP GORGE RD
Second Line	:
City	:	GREENWICH
State	:	CT
Zip	:	06831-4232
Country	:	US
Telephone Number	:	203-531-6553
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 PURCHASE ST
Second Line	:	SUITE 11F
City	:	RYE
State	:	NY
Zip	:	10580-2141
Country	:	US
Telephone Number	:	914-921-3000
Fax Number	:

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	07/08/2007

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