Healthcare Provider Details

I. General information

NPI: 1922934017
Provider Name (Legal Business Name): JOSHUA BONSELL MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4604 31ST AVE
ASTORIA NY
11103-1842
US

IV. Provider business mailing address

430 E 86TH ST APT 8C
NEW YORK NY
10028-6436
US

V. Phone/Fax

Practice location:
  • Phone: 917-273-3564
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA BONSELL
Title or Position: PRESIDENT
Credential:
Phone: 917-273-3564