Healthcare Provider Details

I. General information

NPI: 1730005240
Provider Name (Legal Business Name): GIOVANNI CHAPMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 UNION BLVD
ISLIP NY
11751-3172
US

IV. Provider business mailing address

6 CHEYENNE DR
BAY SHORE NY
11706-4904
US

V. Phone/Fax

Practice location:
  • Phone: 631-377-7000
  • Fax:
Mailing address:
  • Phone: 631-258-3239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number030349-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: