Provider Demographics
NPI:1245240233
Name:FRANK P. CAMMISA, JR, MD, PC
Entity Type:Organization
Organization Name:FRANK P. CAMMISA, JR, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:P
Authorized Official - Last Name:CAMMISA
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:212-606-1946
Mailing Address - Street 1:523 E 72ND ST
Mailing Address - Street 2:3RD FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4099
Mailing Address - Country:US
Mailing Address - Phone:212-606-1946
Mailing Address - Fax:212-472-1486
Practice Address - Street 1:523 E 72ND ST
Practice Address - Street 2:3RD FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4099
Practice Address - Country:US
Practice Address - Phone:212-606-1946
Practice Address - Fax:212-472-1486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY170322207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW89191Medicare ID - Type Unspecified
NYA61858Medicare UPIN