NPI 1336643600

Spine and Pain Consultant, PLLC

Organisation Pain Medicine (Anesthesiology) Physician Staten Island, NY

Practice location

Address: 1534 Victory Blvd, Staten Island, NY 10314-3548
Phone: (718) 667-3577
Fax: (718) 351-7151
Mailing address: 1360 Hylan Blvd, Staten Island, NY 10305-1922

Authorised official

Name: Kenneth B Chapman
Title: Director
Phone: (718) 667-3577

Registered specialties (2)

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 233952 (NY)

Other Anesthesiology providers in New York →

Interventional Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in New York →

Registry record

NPI: 1336643600
Entity type: Organization
NPI issued: 21 Mar 2018
Record last updated: 27 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.