# BOLESLAV KOSHARSKYY, MEDICAL PRACTICE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619416294
- **Authorized official:** DR. BOLESLAV KOSHARSKYY (DIRECTOR)
- **Authorized official phone:** (917) 402-2606

## Contact information

- **Practice address:** 44 W 127TH ST APT 1A, NEW YORK, NY 10027-3888
- **Practice address phone:** (917) 402-2606
- **Mailing address:** 44 W 127TH ST APT 1A, NEW YORK, NY 10027-3888
- **Mailing address phone:** (917) 402-2606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 234893 | NY | Yes |

## Other

- **Enumeration date:** 02/16/2017
- **Last updated:** 02/16/2017