Kevin Tyrone Custis M.D.

  • NPI 1811976970
According to our database, the NPI number for Kevin Tyrone Custis M.D. is 1811976970 and activated since 18 years ago. Kevin Tyrone Custis M.D. is an individual provider who specializes in Family Medicine, and the primary practice location is 86 E 49th St, Brooklyn, NY 11203. You can also contact Kevin Tyrone Custis M.D. via telephone number is (718) 363-6675. Provider NPI information was last updated on 09/26/2012.

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Overview of Kevin Tyrone Custis M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/16/2006
  • Last updated: 09/26/2012

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 25MA08719200
  • License State: NJ

Provider Mailing Address

  • Address: 63 Meadow Lark Ln
    Belle Mead, NJ 08502
  • Phone: 908-281-7591
  • Fax: 908-431-9329

Provider Practice Location

  • Address: 86 E 49th St
    Suite A
    Brooklyn, NY 11203
  • Phone: 718-363-6675
  • Fax:

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 25MA087192
  • License State: NJ
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 01976654
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NY
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kevin Tyrone Custis M.D.?
  • A: The npi number for Kevin Tyrone Custis M.D. is 1811976970.
  • Q: What are Kevin Tyrone Custis M.D.'s specialties?
  • A: Kevin Tyrone Custis M.D.'s specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Kevin Tyrone Custis M.D.?
  • A: The medical license number for Kevin Tyrone Custis M.D. is 25MA08719200 and issued in NJ in USA.
  • Q: Where is Kevin Tyrone Custis M.D. practice location?
  • A: Kevin Tyrone Custis M.D. is practicing at 86 E 49th St, Brooklyn, NY 11203.
  • Q: How to contact Kevin Tyrone Custis M.D.?
  • A: You can contact Kevin Tyrone Custis M.D. via 718-363-6675.