Organization
STATE OF NEW YORK
Active
Organization
STATE OF NEW YORK
Active
Other names
UA-SUNY Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD KOLOSKIE (AUTHORIZED OFFICIAL)
(518) 591-8566
Entity
Organization
Contact information
Practice address
1400 WASHINGTON AVE, ALBANY, NY 12222-0100
(972) 367-4845
Mailing address
15305 DALLAS PKWY STE 800, ADDISON, TX 75001-6415
(972) 367-4845
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/23/2018
Last updated
04/05/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up