Individual
KENNETH A GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
EASTERN VASCULAR ASSOC, 3219 EAST TREMONT AVENUE, BRONX, NY 10461
(718) 792-8115
Mailing address
3219 E TREMONT AVE, BRONX, NY 10461-5751
(718) 792-8115
(718) 792-2652
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
230294
NY
Other
Enumeration date
10/19/2006
Last updated
10/11/2011
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