MEDICARE: DR. KEVBE APOE BS, MS, PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	053013	NY

General Provider Information

NPI Number	:	1952546368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVBE APOE BS, MS, PHARMD

Provider Business Mailing Address
First Line	:	111 SENECA ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10310-2333
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 SENECA ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10310-2333
Country	:	US
Telephone Number	:	347-993-0695
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2008
Last Update Date	:	12/31/2016

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