National Provider Identifier

Kenneth Todd Goldstein, DPM

Kenneth Todd Goldstein, DPM is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist in Williamsville, NY and a listed phone number of (716) 630-1295.

NPI 1194784116Williamsville, NYFoot & Ankle Surgery Podiatrist

Profile Overview

NPI
1194784116
Provider Type
Individual
Primary Specialty
Foot & Ankle Surgery Podiatrist
Enumeration Date
March 20, 2006
Last Updated
June 19, 2019

Practice Location

  • 6325 Main St
  • Suite 200
  • Williamsville, NY 14221-5822

Phone: (716) 630-1295

Mailing Address

  • 425 Essjay RD Ste 170
  • Williamsville, NY 14221-8235

Specialties

  • Foot & Ankle Surgery Podiatrist (213ES0103X)
  • Podiatrist (213E00000X)
Full Record
NPI
1194784116
Entity Type
Individual
Last Name
Goldstein
First Name
Kenneth
Middle Name
Todd
Credential
DPM
Mailing Street Address
425 Essjay RD Ste 170
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-8235
Mailing Country
US
Mailing Phone
(716) 630-1219
Mailing Fax
(716) 817-1726
Practice Street Address
6325 Main St
Practice Address Line 2
Suite 200
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5822
Practice Country
US
Practice Phone
(716) 630-1295
Practice Fax
(716) 250-5999
Enumeration Date
March 20, 2006
Last Updated
June 19, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Foot & Ankle Surgery Podiatrist (213ES0103X), Podiatrist (213E00000X)
Other Identifiers
00588683 (NY)