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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922081264 | NPPES |
| New York | MEDICAID | 02660364 |
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