Kosyakovsky, Jacob

Kosyakovsky, Jacob is an individual health care provider with primary practice located at 55 Fruit St Wang 021, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Kosyakovsky, Jacob can be contacted via phone (612) 791-1350.

Contact Information

Primary practice address
55 Fruit St Wang 021 Boston MA 02114-2696
Phone: (612) 791-1350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 3014532 Massachusetts

Profile Details

NPI number 1710635263
LBN Legal business name Kosyakovsky, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2022
Last updated Aug 31st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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