DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN T CUSTIS M D P C

Active Organization

KEVIN T CUSTIS M D P C is a Family Medicine organization located in BROOKLYN, New York. NPI 1376511881 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BROOKLYN, NY

Registration Details

NPI Number
1376511881
Provider Type
Organization
NPI Issued
Mar 9, 2006 (20.250063473753 yrs)
Last Updated
Aug 6, 2015
License
211807 (NY)

Practice Information

Address
887 E NEW YORK AVE
BROOKLYN, NY, 112031309
Browse NY providers · Browse ZIP 11203
Phone
7187780069
Fax
7187780035
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.