Organization
C K MEDICAL DIAGNOSTIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CUSTIS M.D. (DIRECTOR)
(718) 648-1300
Entity
Organization
Contact information
Practice address
2407 E 23RD ST, SUITE A, BROOKLYN, NY 11235-2510
(718) 648-1300
(718) 648-3100
Mailing address
2407 E 23RD ST, SUITE A, BROOKLYN, NY 11235-2510
(718) 648-1300
(718) 648-3100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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