# NEW YORK PAIN CARE CONSULTANT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417251612
- **Authorized official:** DR. KENNETH B. CHAPMAN (MEDICAL DOCTOR)
- **Authorized official phone:** (718) 667-3577

## Contact information

- **Practice address:** 1534 VICTORY BLVD, STATEN ISLAND, NY 10314-3529
- **Practice address phone:** (718) 667-3577
- **Practice address fax:** (718) 667-3043
- **Mailing address:** 1534 VICTORY BLVD, STATEN ISLAND, NY 10314-3529
- **Mailing address phone:** (718) 667-3577
- **Mailing address fax:** (718) 667-3043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2011
- **Last updated:** 04/15/2013