Organization
RICHMOND ASC LLC
Active
Other names
Richmond Pain Management ASC
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CHAPMAN MD (MEDICAL DIRECTOR)
(718) 667-3577
Entity
Organization
Contact information
Practice address
1360 HYLAN BLVD, STATEN ISLAND, NY 10305-1922
(718) 667-3577
Mailing address
1360 HYLAN BLVD, STATEN ISLAND, NY 10305-1922
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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