Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charlene Kostuk, PA

Individual provider Physician Assistant · NPI 1831368984

Charlene Kostuk, PA is a Physician Assistant in Bronx, New York. Qualified in 1999, 27 years ago. Practices with Central Avenue Professional Services, PC, a 52-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

111 E 210th St Mmc -Ct Surgery Map 5
Bronx, NY 10467-2401
Phone: (718) 920-8958
Fax: (718) 653-2237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001110 (NY)

Record details

NPI number1831368984
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 22, 2008
Last updated in NPPESApril 29, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Central Avenue Professional Services, Pc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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