Provider Demographics
NPI:1104565076
Name:CAMPISI, FRANK J JR (DPM)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:CAMPISI
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16340 98TH ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-4034
Mailing Address - Country:US
Mailing Address - Phone:781-709-1772
Mailing Address - Fax:
Practice Address - Street 1:16340 98TH ST
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-4034
Practice Address - Country:US
Practice Address - Phone:781-709-1772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program