Individual provider · Type 1 NPI
Trevor Ellison, MD
Diagnostic Radiology Physician · New York, NY
NPI number
1992235444
Active
Practice location
1468 Madison Ave
New York, NY 10029-6508
Mailing address
15 Remington Cir
West Windsor, NJ 08550-2922
Other practice locations
- 5645 Main St, Flushing, NY 11355-5045 · (718) 670-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Diagnostic Radiology Physician Primary | 2085R0202X | 319708 (NY) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1992235444
Trevor Ellison, MD's National Provider Identifier is 1992235444, issued on Jun 18, 2017. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in New York, NY. The record was last updated on Oct 13, 2022.