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JULIA KOROBENKO DO
NPI 1023811569
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY

Active since March 31, 2025
75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 686-2549 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Julia Korobenko Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIA KOROBENKO DO (NPI 1023811569) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1023811569
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJULIA KOROBENKOCredential: DO
Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119
Mailing Address75 N Country RdPort Jefferson, NY 11777-2119
Phone(631) 686-2549
Sole ProprietorYes
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 30, 2025
✔ NPI 1023811569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

75 N COUNTRY RD, Port Jefferson, NY 11777
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTINA CATHERINE MELLONE DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
AAKAASH VARMA MD
Dermatology
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
KRISELA VOJNIKU MD
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
LORETTA DIDWELL
Physician Assistant
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
RAYMOND WONG
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-7654
KATLYN ANN CONVILLE ANTHONY NP
Nurse Practitioner (Family)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2565
SHEHNAZ WASIM MD
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-1443
KATHLEEN FANELLI
Nurse Practitioner (Acute Care)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julia Korobenko's NPI number?

The NPI number for Julia Korobenko is 1023811569. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Julia Korobenko located?

Julia Korobenko practices at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 686-2549.

What is Julia Korobenko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Julia Korobenko was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.