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Dmitriy Dvoskin, MD, is a dual board-certified physician specializing in interventional pain management and physical medicine and rehabilitation. Part of Hudson Specialty Care’s highly rated pain management team serving patients throughout New York City and New Jersey, he is dedicated to helping patients find long-term relief from chronic pain through advanced, minimally invasive treatments.

A Brooklyn native, Dr. Dvoskin earned his undergraduate degree from Cornell University before completing his medical degree at St. George’s University School of Medicine in 2012. He went on to complete his residency in Physical Medicine and Rehabilitation at SUNY Upstate Medical Center and advanced fellowship training in Interventional Pain Medicine at Emory University in Atlanta, GA.

Dr. Dvoskin is an active member of the North American Spine Society, International Spine Intervention Society, Society of General Internal Medicine, and American Medical Association. His expertise spans a wide range of conditions, including back and neck pain, herniated discs, neuropathy, sciatica, and joint pain, as well as advanced procedures such as epidural injections, nerve blocks, and radiofrequency ablation.

Currently pursuing a dual MBA/MS in Healthcare at Cornell University, Dr. Dvoskin combines clinical excellence with a strong understanding of healthcare leadership and innovation. Outside of medicine, he enjoys entrepreneurship, traveling, reading, and fencing.

Patients appreciate Dr. Dvoskin’s compassionate approach, thorough evaluations, and personalized treatment plans, which are designed to restore function and improve quality of life.

Boleslav Kosharskyy, MD, is a triple board-certified pain management physician specializing in anesthesiology, interventional pain medicine, and palliative care. Recognized as one of New York’s leading pain management doctors, he provides advanced, minimally invasive treatments at Hudson Specialty Care with locations throughout New York City and New Jersey.

As an Associate Professor of Anesthesiology and Rehabilitation Medicine at Albert Einstein Medical College and Associate Medical Director of Pain Medicine at Montefiore Medical Center, Dr. Kosharskyy combines academic expertise with compassionate patient care. Since 2003, he has treated a wide range of conditions, including back, neck, and joint pain, neuropathic disorders, spinal stenosis, and cancer-related pain. His approach emphasizes a multidisciplinary strategy tailored to each patient’s needs.

Dr. Kosharskyy is skilled in innovative procedures such as spinal cord and dorsal root ganglion (DRG) stimulation, kyphoplasty and vertebroplasty, percutaneous discectomy, and the MILD® procedure for spinal stenosis. He also offers alternative pain management options, including medical marijuana therapy.

Educated at the Free University of Berlin Medical School, Dr. Kosharskyy completed his anesthesiology residency at Boston University Medical Center and an interventional pain medicine fellowship at Upstate University Hospital in Syracuse, NY. He is an active member of the American Society of Anesthesiologists, the New York State Society of Anesthesiologists, and the Eastern Pain Association.

Patients trust Dr. Kosharskyy for his precision, experience, and dedication to improving the quality of life through safe, effective, and personalized pain management care.

Dr. Daniel Eskinazi is a skilled and compassionate Pain Management Physician at Union Anesthesia Associates. With extensive training and experience in both anesthesiology and pain management, he specializes in the comprehensive evaluation and treatment of acute and chronic pain conditions. Dr. Eskinazi is dedicated to providing personalized care using a combination of medical, interventional, and non-invasive techniques to help his patients achieve long-term pain relief and improved quality of life.

Dr. Eskinazi completed his fellowship in Multidisciplinary Pain Medicine at Westchester Medical Center in Valhalla, NY. He has also held positions as an Anesthesiologist at Garden State Anesthesia Associates and Hackensack University Medical Center, bringing valuable expertise in anesthesia and pain care to his current practice.

Board certified by the American Board of Anesthesiology with additional certification in Pain Medicine, Dr. Eskinazi is committed to delivering patient-centered care with a focus on safety, compassion, and the most up-to-date treatment options. His advanced skills in both pain management and anesthesia allow him to approach each case with a comprehensive and holistic perspective.

Marlyn Alvarado, FNP-C, is a board-certified family nurse practitioner at Union Spine and Pain Management. The practice has locations in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. Proficient in English and Spanish, Marlyn brings a wealth of experience delivering comprehensive care to diverse populations of all ages.

Marlyn embarked on her nursing journey at New Jersey City University in Jersey City, where she earned her nursing degree. During this time, she served as a surgical nurse at Jersey City Medical Center in Jersey City, New Jersey, where she cared for patients undergoing chemotherapy, dialysis, and surgery.

Continuing her work at Jersey City Medical Center, Marlyn served in pivotal roles as a transition discharge nurse and maternal child health nurse. Here, she managed patients with high-risk pregnancies, substance use disorder, and teen pregnancy, demonstrating her versatility in addressing complex healthcare needs.

She also served as a case manager at United Healthcare in West New York, New Jersey, and later as a wellness coach/chronic condition manager at Premise Health. These roles further developed her understanding of holistic healthcare management and patient support.

Passionate about advancing her nursing practice, Marlyn pursued her Master of Science in nursing at Spring Arbor University in Spring Arbor, Michigan. This led to her family nurse practitioner certification from the American Academy of Nurse Practitioners. 

Marlyn holds additional certifications in neonatal resuscitation from the American Academy of Pediatrics and advanced cardiac life support from the American Heart Association.

In her role at Union Spine and Pain Management, Marlyn enjoys collaborating with the team, ensuring that she meets the diverse needs of her patients. 

Philip M. Rojo, MLP-NP, is a highly skilled nurse practitioner passionate about delivering customized care. Through his work at Union Spine and Pain Management, which has offices in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey, Philip helps patients feel more comfortable as they progress in treatment. 

A lifelong learner, Philip earned a Bachelor of Science in nursing from Rutgers, The State University of New Jersey, in New Brunswick. He remains at Rutgers to complete a Master of Science in nursing, focusing on adult and geriatric care. 

Philip is trained in basic life support and advanced cardiac life support. He is also certified as an adult/gerontology acute care nurse practitioner. 

Philip’s professional experience includes working in emergency room settings and managing patient care across various crisis and trauma needs. He also brings experience in managing patient care after surgical interventions, in addition to treating numerous acute and chronic musculoskeletal pain disorders. 

Philip enjoys working one-on-one with those in his care, getting to know them and their unique health needs. He finds his work deeply rewarding, especially when patients overcome significant challenges in pain management. 

Wayne Fleischhacker, DO, DABA, DABPM, DAAPM, is the director of Union Spine and Pain Management with offices in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. He has vast experience in anesthesiology and pain management, including minimally invasive pain management procedures and surgery. 

Dr. Fleischhacker began his education at Rochester Institute of Technology in Rochester, New York, receiving his bachelor’s degree in biology. He later achieved his medical degree at the New York College of Osteopathic Medicine in Old Westbury.

Shortly after, he completed a rotating internship at Massapequa General Hospital in Seaford, New York, followed by anesthesiology and pain management training at Temple University Hospital in Philadelphia, Pennsylvania.

Dr. Fleischhacker is on staff at multiple hospitals and surgery centers in New Jersey.

He also served as the attending anesthesiologist and chairman of the anesthesiology and pain management department at Union Hospital in New Jersey and the Endo-Surgical Center as the director of anesthesiology and pain management.

Established in the medical field, Dr. Fleischhacker is a diplomate of the American Board of Anesthesiology, the American Board of Pain Medicine, the American Academy of Pain Management, and the National Board of Osteopathic Medical Examiners.

He is also a member of the American Society of Anesthesiologists, the New Jersey Society of Anesthesiologists, the American Board of Pain Management, the International Spine Intervention Society, the American Society of Interventional Pain Physicians, and Director of the New Jersey Society of Interventional Pain Physicians.

Dr. Fleischhacker's dedication to patient-centered care and his commitment to enhancing medical knowledge continue to make a profound impact on the lives of countless patients and his team at Union Spine and Pain Management.

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Gerald F. Gaughan, MD, is a highly experienced physical medicine and rehabilitation physician at Doctors United, with offices in the West Farms and Wakefield neighborhoods in the White Plains, and Ardsley, New York. Dr. Gaughan focuses on enhancing and restoring the functional abilities and quality of life for his patients with physical impairments and disabilities. 

After earning his Doctor of Medicine at the State University of New York (SUNY) Health Science Center (now known as SUNY Downstate Health Sciences University) in Brooklyn, New York, Dr. Gaughan completed a one-year medicine internship at New Rochelle Hospital (now known as Montefiore New Rochelle Hospital) in New Rochelle, New York. 

Dr. Gaughan then went on to complete his anesthesia residency at Montefiore Medical Center, the University Hospital for Albert Einstein College of Medicine, in the Bronx, followed by his physical medicine and rehabilitation residency at New York Medical College in Valhalla, New York.

He is board-certified by the American Board of Physical Medicine and Rehabilitation and is licensed to practice medicine in the state of New York. 

Dr. Gaughan has hospital affiliations with St. Barnabas Hospital in the Bronx and St. John’s Riverside Hospital in Yonkers. 

Taking a patient-centered approach to care, Dr. Gaughan makes himself available when his patients need him. 

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Dr. Daniel Eskinazi is a skilled and compassionate Pain Management Physician at Union Anesthesia Associates. With extensive training and experience in both anesthesiology and pain management, he specializes in the comprehensive evaluation and treatment of acute and chronic pain conditions. Dr. Eskinazi is dedicated to providing personalized care using a combination of medical, interventional, and non-invasive techniques to help his patients achieve long-term pain relief and improved quality of life.

Dr. Eskinazi completed his fellowship in Multidisciplinary Pain Medicine at Westchester Medical Center in Valhalla, NY. He has also held positions as an Anesthesiologist at Garden State Anesthesia Associates and Hackensack University Medical Center, bringing valuable expertise in anesthesia and pain care to his current practice.

Board certified by the American Board of Anesthesiology with additional certification in Pain Medicine, Dr. Eskinazi is committed to delivering patient-centered care with a focus on safety, compassion, and the most up-to-date treatment options. His advanced skills in both pain management and anesthesia allow him to approach each case with a comprehensive and holistic perspective.

Marlyn Alvarado, FNP-C, is a board-certified family nurse practitioner at Union Spine and Pain Management. The practice has locations in Union, Scotch Plains, South Bound Brook, New Brunswick, Old Bridge, and Woodbridge, New Jersey. Proficient in English and Spanish, Marlyn brings a wealth of experience delivering comprehensive care to diverse populations of all ages.

Marlyn embarked on her nursing journey at New Jersey City University in Jersey City, where she earned her nursing degree. During this time, she served as a surgical nurse at Jersey City Medical Center in Jersey City, New Jersey, where she cared for patients undergoing chemotherapy, dialysis, and surgery.

Continuing her work at Jersey City Medical Center, Marlyn served in pivotal roles as a transition discharge nurse and maternal child health nurse. Here, she managed patients with high-risk pregnancies, substance use disorder, and teen pregnancy, demonstrating her versatility in addressing complex healthcare needs.

She also served as a case manager at United Healthcare in West New York, New Jersey, and later as a wellness coach/chronic condition manager at Premise Health. These roles further developed her understanding of holistic healthcare management and patient support.

Passionate about advancing her nursing practice, Marlyn pursued her Master of Science in nursing at Spring Arbor University in Spring Arbor, Michigan. This led to her family nurse practitioner certification from the American Academy of Nurse Practitioners. 

Marlyn holds additional certifications in neonatal resuscitation from the American Academy of Pediatrics and advanced cardiac life support from the American Heart Association.

In her role at Union Spine and Pain Management, Marlyn enjoys collaborating with the team, ensuring that she meets the diverse needs of her patients.