Graduated: 2004
NPI: 1194956607
Practice Locations (4)
TRA-MINW P S
20 GARNETT PL
MELVILLE, NY 117474256
2537614200
TRA-MINW P S
455 E 86TH ST, APT 20A
NEW YORK, NY 100286488
2537612400
MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE
455 E 86TH ST, APT 20A
NEW YORK, NY 100286488
2537614200
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
622 W 168TH ST
NEW YORK, NY 100323720
2123059876
Source: CMS National Downloadable File, September 2026.