Organization
VICTORY AMBULATROY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH B CHAPMAN MD (MEMBER)
(718) 667-3577
Entity
Organization
Contact information
Practice address
1534 VICTORY BLVD, STATEN ISLAND, NY 10314-3529
(718) 667-3577
(718) 667-3043
Mailing address
1534 VICTORY BLVD, STATEN ISLAND, NY 10314-3529
(718) 667-3577
(718) 667-3043
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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