Provider Demographics
NPI:1942325097
Name:CAMMARATA, FRANK ANTHONY JR (LCSW (LICENSED C)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ANTHONY
Last Name:CAMMARATA
Suffix:JR
Gender:M
Credentials:LCSW (LICENSED C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5586 MAIN ST
Mailing Address - Street 2:SUITE G-2
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5421
Mailing Address - Country:US
Mailing Address - Phone:716-630-7075
Mailing Address - Fax:716-630-1635
Practice Address - Street 1:5586 MAIN ST
Practice Address - Street 2:SUITE G-2
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5421
Practice Address - Country:US
Practice Address - Phone:716-630-7075
Practice Address - Fax:716-630-1635
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0071471103T00000X
NYPR007147-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000500591003OtherBCBS
NY00053226002OtherUNIVERA HEALTHCARE
NY6202513OtherIHA
NY6202513OtherIHA
NY00053226002OtherUNIVERA HEALTHCARE
NY005911Medicare PIN