Provider Demographics
NPI:1801076468
Name:CONTINO, KEVIN J (RPH)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:J
Last Name:CONTINO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1166 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:14048-3603
Mailing Address - Country:US
Mailing Address - Phone:716-366-8616
Mailing Address - Fax:716-366-1619
Practice Address - Street 1:1166 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:NY
Practice Address - Zip Code:14048-3603
Practice Address - Country:US
Practice Address - Phone:716-366-8616
Practice Address - Fax:716-366-1619
Is Sole Proprietor?:No
Enumeration Date:2007-11-11
Last Update Date:2007-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042660183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist