Individual
JAY W CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61 DELANO ST, PULASKI, NY 13142-1400
(315) 298-6564
(315) 298-3968
Mailing address
61 DELANO ST, PULASKI, NY 13142-1400
(315) 298-6564
(315) 298-3968
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
144846
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00144846
—
NY
05
—
00307662
—
NY
01
—
331880
FQHC NUMBER
NY
Enumeration date
09/02/2005
Last updated
10/06/2014
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