National Provider Identifier

Olena Maria Krupko, PA-C

Olena Maria Krupko, PA-C is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Corning, NY and a listed phone number of (203) 305-9842.

NPI 1235842097Corning, NYFamily Medicine Physician

Profile Overview

NPI
1235842097
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
December 26, 2022
Last Updated
February 25, 2026

Practice Location

  • 130 Center Way
  • Corning, NY 14830-2255

Phone: (203) 305-9842

Mailing Address

  • 230 Ukrainian Hill RD
  • Johnson City, NY 13790-1686

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1235842097
Entity Type
Individual
Last Name
Krupko
First Name
Olena
Middle Name
Maria
Credential
PA-C
Mailing Street Address
230 Ukrainian Hill RD
Mailing City
Johnson City
Mailing State
NY
Mailing ZIP Code
13790-1686
Mailing Country
US
Mailing Phone
(203) 305-9842
Practice Street Address
130 Center Way
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830-2255
Practice Country
US
Practice Phone
(203) 305-9842
Enumeration Date
December 26, 2022
Last Updated
February 25, 2026
Sex
Female
Sole Proprietor
No
Certification Date
February 25, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)