Individual
DR. TRAVIS STRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HAVEN AVE, APARTMENT 8B, NEW YORK, NY 10032-2645
(301) 512-7076
Mailing address
214 DUFFIELD ST APT 53M, BROOKLYN, NY 11201-7051
(301) 512-7076
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
277539
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/29/2013
Last updated
04/10/2023
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