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Canonical ID: us-medny-2af719218ed00d3f851a5004a221eb7fcabb4182 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:country | us | eng | us_ny_med_exclusions | us-medny-2af719218ed00d3f851a5004a221eb7fcabb4182 | |||
LegalEntity:id | 66eb1a7a24a4f4f4ddd1167a06ff5d7e39abf1da | eng | us_ny_med_exclusions | us-medny-2af719218ed00d3f851a5004a221eb7fcabb4182 | |||
LegalEntity:idNumber | 00211807 | eng | us_ny_med_exclusions | us-medny-2af719218ed00d3f851a5004a221eb7fcabb4182 | |||
LegalEntity:name | CUSTIS KEVIN T MD | eng | us_ny_med_exclusions | us-medny-2af719218ed00d3f851a5004a221eb7fcabb4182 | |||
LegalEntity:npiCode | 1811976970 | eng | us_ny_med_exclusions | us-medny-2af719218ed00d3f851a5004a221eb7fcabb4182 | |||
LegalEntity:sector | Physician | eng | us_ny_med_exclusions | us-medny-2af719218ed00d3f851a5004a221eb7fcabb4182 | |||
LegalEntity:topics | debarment | eng | us_ny_med_exclusions | us-medny-2af719218ed00d3f851a5004a221eb7fcabb4182 | |||