Individual
ALIZA KOSYAKOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-1400
(617) 643-7035
Mailing address
77 PARK DR APT 20, BOSTON, MA 02215-5225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2361292
MA
363LA2200X
Adult Health Nurse Practitioner
98864
ZZ
Other
Enumeration date
02/01/2022
Last updated
04/08/2026
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