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NPI Code Detail

MEDICARE: DR. SAMUEL H GARTNER M.D.

MEDICARE: DR. SAMUEL H GARTNER M.D.
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
12084P0800XPsychiatry Physician287667NY
22084P0804XChild & Adolescent Psychiatry Physician287667NY

General Provider Information

NPI Number : 1760800700
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL H GARTNER M.D.
Provider Business Mailing Address
First Line : 197 HALF HOLLOW RD
Second Line :
City : DIX HILLS
State : NY
Zip : 11746-5859
Country : US
Telephone Number : 631-370-1701
Fax Number : 516-273-7133
Provider Business Practice Location Address
First Line : 197 HALF HOLLOW RD
Second Line :
City : DIX HILLS
State : NY
Zip : 11746-5859
Country : US
Telephone Number : 631-370-1701
Fax Number : 631-370-1714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2014
Last Update Date : 06/13/2025

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