Individual
KENNETH LAWRENCE FEUERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2704 GLENWOOD RD, MARK B. LEW, MD, LLC, BROOKLYN, NY 11210-2326
(718) 859-6440
(718) 434-0368
Mailing address
2704 GLENWOOD RD, MARK B. LEW, MD, LLC, BROOKLYN, NY 11210-2326
(718) 859-6440
(718) 434-0368
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
186455
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01336805
—
NY
Enumeration date
04/21/2006
Last updated
02/28/2012
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