Organization
PARK EAST PAIN MANAGEMENT SUITE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH B CHAPMAN M.D. (MEMBER)
(718) 667-3577
Entity
Organization
Contact information
Practice address
860 5TH AVE, 1B, NEW YORK, NY 10065-5856
(212) 724-7246
(212) 724-7256
Mailing address
860 5TH AVE, 1B, NEW YORK, NY 10065-5856
(212) 724-7246
(212) 724-7256
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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