Provider Demographics
NPI:1437648870
Name:CHAPIN, DAWN TYA (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:TYA
Last Name:CHAPIN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7313
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-7313
Mailing Address - Country:US
Mailing Address - Phone:563-249-1805
Mailing Address - Fax:
Practice Address - Street 1:WYCKOFF HEIGHTS MEDICAL CENTER
Practice Address - Street 2:374 STOCKHOLM STREET
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237
Practice Address - Country:US
Practice Address - Phone:718-963-7332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program