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Contact Information

JULIA R KOEBERT, PA-C
301 E MAIN ST
BAY SHORE, NY11706-8408
 Phone: 516-592-9017
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JULIA R KOEBERT · (Female)

NPI # 1396267175
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/12/2017
Last updated 07/12/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 0000000000
Hospital affiliation(s)
  • GLEN COVE HOSPITAL - (Acute Care)
    101 ST ANDREWS LANE
    GLEN COVE, NY 11542
  • HUNTINGTON HOSPITAL - (Acute Care)
    270 PARK AVENUE
    HUNTINGTON, NY 11743
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • PLAINVIEW HOSPITAL - (Acute Care)
    888 OLD COUNTRY ROAD
    PLAINVIEW, NY 11803
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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