# KINGSWOOD MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669673265
- **Authorized official:** DR. JOSHUA M FEIBUSCH M.D. (PRESIDENT)
- **Authorized official phone:** (516) 239-5959

## Contact information

- **Practice address:** 290 CENTRAL AVE, SUITE 204, LAWRENCE, NY 11559-8507
- **Practice address phone:** (516) 239-5959
- **Practice address fax:** (516) 239-6866
- **Mailing address:** 290 CENTRAL AVE., SUITE 204, LAWRENCE, NY 11559
- **Mailing address phone:** (516) 239-5959
- **Mailing address fax:** (516) 239-6866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 124051 | NY | Yes |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 08/22/2020