Individual provider · Type 1 NPI

Aliza Kosyakovsky

Nurse Practitioner · Boston, MA

NPI number 1437802287 Active

Practice location

55 Fruit St
Boston, MA 02114-2621

Fax (617) 643-7035

Mailing address

77 Park Dr Apt 20
Boston, MA 02215-5225

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2361292 (MA)
Adult Health Nurse Practitioner 363LA2200X98864 (ZZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1437802287

Aliza Kosyakovsky's National Provider Identifier is 1437802287, issued on Feb 1, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Apr 8, 2026.