Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 170322 | NY |
NPI | 1275588246 |
---|---|
Provider Name | Dr. Frank P Cammisa JR. |
First Address | New York, NY 10021-4099 |
Second Address | New York, NY 10021-4099 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 24/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A61858 | (02) | NY |