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Organization
RICHMOND ASC LLC
Active
Organization
RICHMOND ASC LLC
Active
Other names
Richmond Pain Management ASC
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CHAPMAN MD (MEDICAL DIRECTOR)
(718) 667-3577
Entity
Organization
Contact information
Practice address
1360 HYLAN BLVD, STATEN ISLAND, NY 10305-1922
(718) 667-3577
Mailing address
1360 HYLAN BLVD, STATEN ISLAND, NY 10305-1922
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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