Provider Demographics
NPI:1629729686
Name:CHATMAN, MAURICE (CASAC)
Entity Type:Individual
Prefix:
First Name:MAURICE
Middle Name:
Last Name:CHATMAN
Suffix:
Gender:M
Credentials:CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 E 118TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-4678
Mailing Address - Country:US
Mailing Address - Phone:347-946-9027
Mailing Address - Fax:
Practice Address - Street 1:561 COURT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-3804
Practice Address - Country:US
Practice Address - Phone:718-802-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)