Provider Demographics
NPI:1902806656
Name:CHAPNICK, EDWARD KURT (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:KURT
Last Name:CHAPNICK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4802 10TH AVE
Mailing Address - Street 2:MAIMONIDES MEDICAL CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2844
Mailing Address - Country:US
Mailing Address - Phone:718-283-7492
Mailing Address - Fax:718-283-8813
Practice Address - Street 1:4802 10TH AVE
Practice Address - Street 2:MAIMONIDES MEDICAL CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2844
Practice Address - Country:US
Practice Address - Phone:718-283-7492
Practice Address - Fax:718-283-8813
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2014-02-07
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Provider Licenses
StateLicense IDTaxonomies
NY168483207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01244742Medicaid
NY01244742Medicaid
D-92089Medicare UPIN