DR. BOLESLAV KOSHARSKYY M.D. NPI 1922081264

NPI Information

NPI: 1922081264
Provider Name: DR. BOLESLAV KOSHARSKYY, M.D.
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

PECOS Registration: Yes

Address:
3400 BAINBRIDGE AVENUE SUITE LL400
BRONX, NY
ZIP 10467
Phone: (718) 920-7246
Get Directions

DR. Boleslav Kosharskyy, M.D. is a pain medicine anesthesiology in Bronx, NY with 27 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DR. Boleslav Kosharskyy, M.D. NPI is 1922081264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3400 BAINBRIDGE AVENUE SUITE LL400
BRONX, NY
ZIP 10467-404
Phone: (718) 920-7246
Fax: (718) 652-4018

The NPI 1922081264 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/21/2005 and was last updated on 9/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207LP2900X	Anesthesiology	Pain Medicine	234893	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	02660364	MEDICAID	NEW YORK
2	0361T1	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
3	I30231	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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