Organization
SPINE AND PAIN CONSULTANT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH B CHAPMAN MD (DIRECTOR)
(718) 667-3577
Entity
Organization
Contact information
Practice address
1534 VICTORY BLVD, STATEN ISLAND, NY 10314-3548
(718) 667-3577
(718) 351-7151
Mailing address
1360 HYLAN BLVD, STATEN ISLAND, NY 10305-1922
(718) 667-3577
(718) 351-7151
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
233952
NY
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
03/21/2018
Last updated
01/27/2023
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