MEDICARE: DAVID SAMMETT 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
1	208600000X	Surgery Physician	204350	NY

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	:	1881600575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID SAMMETT M.D.

Provider Business Mailing Address
First Line	:	17 PINESBRIDGE RD
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4333
Country	:	US
Telephone Number	:	347-678-5310
Fax Number	:	914-962-4146

Provider Business Practice Location Address
First Line	:	17 PINESBRIDGE RD
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4333
Country	:	US
Telephone Number	:	347-678-5310
Fax Number	:	914-962-4146

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	05/22/2019

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