Provider Demographics
NPI:1265632053
Name:HARNETT, ANDREW (MSPT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:HARNETT
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 15TH ST
Mailing Address - Street 2:4B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5631
Mailing Address - Country:US
Mailing Address - Phone:917-690-0648
Mailing Address - Fax:
Practice Address - Street 1:372 15TH ST
Practice Address - Street 2:4B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-5631
Practice Address - Country:US
Practice Address - Phone:917-690-0648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0223512251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic