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Organization
SPINE AND PAIN CONSULTANT, PLLC
Active
Organization
SPINE AND PAIN CONSULTANT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH B CHAPMAN MD (MEDICAL DIRECTOR)
(718) 667-3577
Entity
Organization
Contact information
Practice address
700 RAHWAY AVE, UNION, NJ 07083-6634
(718) 667-3577
Mailing address
1360 HYLAN BLVD, STATEN ISLAND, NY 10305-1922
(718) 667-3577
(718) 351-7151
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
07/08/2020
Last updated
01/27/2023
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