Organization
SPINE & PAIN CONSTULANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH B CHAPMAN M.D. (MEDICAL DOCTOR)
(718) 667-3577
Entity
Organization
Contact information
Practice address
1534 VICTORY BLVD, STATEN ISLAND, NY 10314-3548
(718) 667-3577
(347) 875-1804
Mailing address
1534 VICTORY BLVD, STATEN ISLAND, NY 10314-3548
(718) 667-3577
(347) 875-1804
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018132-1
NY
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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