KEVIN T CUSTIS M D P C

BROOKLYN, NY
NPI1376511881
Entity TypeOrganization
Authorized ContactKEVIN TYRONE CUSTIS
CEO
718-363-6675
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  211807)
Enumeration Date2006-03-09
Last Update Date2015-08-06
Business Address
KEVIN T CUSTIS M D P C
887 E NEW YORK AVE
BROOKLYN, NY 11203-1309
Phone number: 718-778-0069
Mailing Address
KEVIN T CUSTIS M D P C
63 MEADOW LARK LN
BELLE MEAD, NJ 08502-4929
Phone number: 908-431-7707
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