Kosharskyy, Boleslav

Kosharskyy, Boleslav is an sole proprietor health care provider with primary practice located at 3400 Bainbridge Avenue Suite Ll400 , Bronx NY 10467-2404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Kosharskyy, Boleslav can be contacted via phone (718) 920-7246.

Contact Information

Primary practice address
3400 Bainbridge Avenue Suite Ll400 Bronx NY 10467-2404
Phone: (718) 920-7246
Fax: (718) 652-4018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 234893 New York

Profile Details

NPI number 1922081264
LBN Legal business name Kosharskyy, Boleslav
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2005
Last updated Sep 11th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922081264 NPPES
New York MEDICAID 02660364

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