Individual
DR. BOLESLAV KOSHARSKYY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 BAINBRIDGE AVENUE SUITE LL400, BRONX, NY 10467-2404
(718) 920-7246
(718) 652-4018
Mailing address
90 MATAWAN RD STE 302, MATAWAN, NJ 07747-2653
(732) 441-7177
(732) 441-7165
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA08645800
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
234893
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02660364
—
NY
Enumeration date
11/21/2005
Last updated
01/20/2026
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