Kenneth A Goldstein
Vascular Surgeon
Eastern Vascular Assoc 3219 East Tremont Avenue
Bronx
, New York 10461
Kenneth A Goldstein
Vascular Surgeon
Eastern Vascular Assoc 3219 East Tremont Avenue
Bronx
, New York 10461
(718) 792-2652
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Kenneth A Goldstein
- 3219 E Tremont Ave
- Bronx, NY
- Zip : 10461-5751
- Fax : (718) 792-2652
- Phone : (718) 792-8115
Second Address
- Kenneth A Goldstein
- Eastern Vascular Assoc 3219 East Tremont Avenue
- Bronx, NY
- Zip : 10461
- Phone : (718) 792-8115
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 230294 | NY |
National Provider Identifier
| NPI | 1164504320 |
|---|---|
| Provider Name | Kenneth A Goldstein |
| First Address | Bronx, NY 10461-5751 |
| Second Address | Bronx, NY 10461 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2006 |
| Last Update Date | 11/10/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.