Kathryn Ann Koshansky, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0294 Issued in NY

Practice address

Stony Brook University
100 Nicolls Rd
Stony Brook, NY 11794-3500

Phone

(631) 632-7217

Fax

(631) 632-3231

NPI assigned

Mar 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1871554519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MIDDAY DR",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117202315",
            "telephone_number": "631-471-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY",
            "address_2": "100 NICOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117943500",
            "telephone_number": "631-632-7217",
            "fax_number": "631-632-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHANSKY",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "0294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaitali Korgaonkar-Cherala, MD
• Nicholas Daniel Korkosz, DO
• Haarika Korlipara, MD
• Smadar Kort, M.D.
• Nina Dorothy Kosciuszek, DO
• Vasileios Kostaras, MD
• Rasagnya Kota, MD
• Vladimir Kotelnik, M.D.
• Sejal Kothari, M.D.
• Ryan John Kottmeier, PA

• Athletic Trainer in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.