Individual
TRAVIS BEVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
47 NEW SCOTLAND AVE, DEPT. OF INTERNAL MEDICINE, ALBANY, NY 12208-3412
(518) 262-5377
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
316406
NY
390200000X
Student in an Organized Health Care Education/Training Program
221151324
NY
Other
Enumeration date
03/27/2016
Last updated
05/09/2024
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