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NPI Code Detail

MEDICARE: MR. KEVIN P HUESTON

MEDICARE: MR. KEVIN P HUESTON
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1689973885
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN P HUESTON
Provider Business Mailing Address
First Line : PO BOX 378
Second Line :
City : WASHINGTONVILLE
State : NY
Zip : 10992-0378
Country : US
Telephone Number : 718-670-7352
Fax Number : 866-522-9101
Provider Business Practice Location Address
First Line : 1511 BANTAM PL
Second Line :
City : BRONX
State : NY
Zip : 10469-5928
Country : US
Telephone Number : 718-670-7352
Fax Number : 866-522-9101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2011
Last Update Date : 01/18/2012

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