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Organization

KINGSWOOD MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSHUA M FEIBUSCH M.D. (PRESIDENT)
(516) 239-5959
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
124051
NY

Other

Enumeration date
05/30/2007
Last updated
08/22/2020
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