# KENNETH B CHAPMAN MD PLLC

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

## Provider details

- **NPI number:** 1811915416
- **Authorized official:** KENNETH BRADLEY CHAPMAN M.D. (CHAIRMAN)
- **Authorized official phone:** (917) 868-3817

## Contact information

- **Practice address:** 1360 HYLAN BLVD, STATEN ISLAND, NY 10305
- **Practice address phone:** (718) 667-3577
- **Practice address fax:** (718) 351-7151
- **Mailing address:** 1360 HYLAN BLVD, STATEN ISLAND, NY 10305-1922
- **Mailing address phone:** (917) 868-3817
- **Mailing address fax:** (718) 351-7151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 07/08/2020