MEDICARE: ALEXANDRA HOPE KLUKOSKY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	N10674-01	NY

General Provider Information

NPI Number	:	1588527444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA HOPE KLUKOSKY

Provider Business Mailing Address
First Line	:	183 WOODLAND AVE
Second Line	:
City	:	WESTWOOD
State	:	NJ
Zip	:	07675-3218
Country	:	US
Telephone Number	:	201-899-9091
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 SUFFERN PL STE A
Second Line	:
City	:	SUFFERN
State	:	NY
Zip	:	10901-5566
Country	:	US
Telephone Number	:	845-357-4500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ ALEXANDRA HOPE KLUKOSKY ” Practice Location

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