MEDICARE: ROY E HARNETT-ROBINSON MD

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	208000000X	Pediatrics Physician	139709	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144267931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROY E HARNETT-ROBINSON MD

Provider Business Mailing Address
First Line	:	55 WATER ST
Second Line	:	2ND FLOOR CRED DEPT
City	:	NEW YORK
State	:	NY
Zip	:	10041-0004
Country	:	US
Telephone Number	:	646-680-2888
Fax Number	:	516-542-5556

Provider Business Practice Location Address
First Line	:	20620 LINDEN BLVD
Second Line	:
City	:	CAMBRIA HTS
State	:	NY
Zip	:	11411-1524
Country	:	US
Telephone Number	:	718-479-6600
Fax Number	:	718-264-7080

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	09/12/2019

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