Provider Demographics
NPI:1386385359
Name:HARNETT-ROBINSON, DOUGLAS (MD)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:
Last Name:HARNETT-ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8403 LANDER ST APT 6B
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-2092
Mailing Address - Country:US
Mailing Address - Phone:718-887-3090
Mailing Address - Fax:718-326-2656
Practice Address - Street 1:8040 COOPER AVE STE 4204
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-7726
Practice Address - Country:US
Practice Address - Phone:718-887-3090
Practice Address - Fax:718-326-2656
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY334746207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine