Individual
DR. KENNETH D GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 666-6752
(631) 666-0684
Mailing address
24 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 666-6752
(631) 666-0684
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
132238
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00792567
—
NY
Enumeration date
11/29/2005
Last updated
12/09/2009
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