Provider Demographics
NPI:1558836916
Name:METRO SURGICAL ASSOCIATES PLLC
Entity Type:Organization
Organization Name:METRO SURGICAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
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:646-797-8195
Mailing Address - Street 1:377 OAK ST
Mailing Address - Street 2:STE 407
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5553
Mailing Address - Country:US
Mailing Address - Phone:646-797-8195
Mailing Address - Fax:
Practice Address - Street 1:377 OAK ST
Practice Address - Street 2:STE 407
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5553
Practice Address - Country:US
Practice Address - Phone:646-797-8195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-11
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty