Individual
KEVIN CLEOPHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11950 234TH ST, CAMBRIA HEIGHTS, NY 11411-2316
(718) 216-7419
Mailing address
11950 234TH ST, CAMBRIA HEIGHTS, NY 11411-2316
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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