Healthcare Provider Details

I. General information

NPI: 1417484494
Provider Name (Legal Business Name): CHRISTINA JULIANA ROBINSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA ROBINSON MD

II. Dates (important events)

Enumeration Date: 05/22/2017
Last Update Date: 10/25/2025
Certification Date: 10/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17660 UNION TPKE STE 350
FRESH MEADOWS NY
11366-1531
US

IV. Provider business mailing address

17660 UNION TPKE STE 350
FRESH MEADOWS NY
11366-1531
US

V. Phone/Fax

Practice location:
  • Phone: 718-521-6200
  • Fax: 718-820-9051
Mailing address:
  • Phone: 718-521-6200
  • Fax: 718-820-9051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number304707
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: