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Organization

SPINE AND PAIN CONSULTANT, PLLC

Active
Parent organization
SPINE AND PAIN CONSULTANT, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPINE AND PAIN CONSULTANT, PLLC
Authorized official
KENNETH B CHAPMAN MD (MEDICAL DIRECTOR)
(718) 667-3577
Entity
Organization

Contact information

Practice address
1 HOLLOW LN STE 102, NEW HYDE PARK, NY 11042-1219
(516) 587-5500
Mailing address
1360 HYLAN BLVD, STATEN ISLAND, NY 10305-1922
(718) 667-3577

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
10/04/2018
Last updated
01/27/2023
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