| Kevin Tyrone Custis, MD | |
|
86 E 49th St, Suite A, Brooklyn, NY 11203-1901 | |
| (718) 363-6675 | |
| Not Available |
| Full Name | Kevin Tyrone Custis |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 86 E 49th St, Brooklyn, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811976970 | NPI | - | NPPES |
| 01976654 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 211807 (New York) | Primary |
| 207Q00000X | Family Medicine | 25MA08719200 (New Jersey) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Tyrone Custis, MD 63 Meadow Lark Ln, Belle Mead, NJ 08502-4929 Ph: (908) 281-7591 | Kevin Tyrone Custis, MD 86 E 49th St, Suite A, Brooklyn, NY 11203-1901 Ph: (718) 363-6675 |
Dr. Simon Fensterszaub, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 432 Bedford Ave, Brooklyn, NY 11249 Phone: 718-964-6161 Fax: 718-387-9222 | |
David Streicher, Family Medicine Medicare: Medicare Enrolled Practice Location: 1312 38th St, Brooklyn, NY 11218 Phone: 718-686-7600 | |
Dr. Allen L Lee, MD DIPLOMATEABFP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 433 72nd St, Brooklyn, NY 11209 Phone: 718-748-1320 Fax: 718-321-0341 | |
Larisa Veksman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 162 Brighton 11street, 1st Floor, Brooklyn, NY 11235 Phone: 212-686-6700 Fax: 646-349-2066 | |
Oleg Kotelskiy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3816 Nostrand Ave, Brooklyn, NY 11235 Phone: 718-338-2323 Fax: 718-338-7117 | |
Dr. Farideh Zonouzi-zadeh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 374 Stockholm St, C/o Faculty Practice, Brooklyn, NY 11237 Phone: 718-963-6551 Fax: 718-963-6793 | |
Dr. Imaduddin Syed Hashmi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 427 Coney Island Ave, Brooklyn, NY 11218 Phone: 718-306-5025 Fax: 718-306-5065 |