Individual ProviderDeanna DegaetanoSocial WorkerBehavioral Health & Social Service ProvidersPractice Address90 Bryant Ave, Suite Td, White Plains, NY 10605-1952(914) 428-7762(914) 793-7966PECOS EnrollmentBased on the most recent information from CMS, provider Deanna Degaetano is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1912067240Provider TypeIndividualFull NameDegaetano, DeannaTitleMs.CredentialL.C.S.W.-RGenderFemaleSole ProprietorYesEnumeration Date12/8/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address90 Bryant Ave, Suite Td, White Plains, NY 10605-1952Phone(914) 428-7762FaxUnlisted FaxMailing LocationMailing Address33 Terrace Pl, Tuckahoe, NY 10707-4146Phone(914) 793-7966FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseR031579-1New York