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
860 5TH AVE STE 1B, NEW YORK, NY 10065-5856
(212) 724-7246
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
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
10/04/2018
Last updated
01/27/2023
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