Department of Radiation Medicine new patient forms

Department of Radiation Medicine new patient forms

Thank you for scheduling an appointment with a physician from the Department of Radiation Medicine. Prior to your appointment, please fill out and return the three forms linked below. These forms can be emailed to the department at [email protected] or mailed to the address of your physician, listed below.

Please call your physician's office directly if you have any questions.

Physician addresses

Ames, John W.
Imbert Cancer Center - Dept of Radiation Medicine
440 East Main Street
Bay Shore, NY 11706

Andrews, Janna Z.
Center for Advanced Medicine
450 Lakeville Road
Entrance A – Radiation Medicine
Lake Success, NY 11042

Bloom, Beatrice
Center for Advanced Medicine
450 Lakeville Road
Entrance A – Radiation Medicine
Lake Success, NY 11042

Cox, Brett
Center for Advanced Medicine
450 Lakeville Road
Entrance A – Radiation Medicine
Lake Success, NY 11042

Ghaly, Maged
Center for Advanced Medicine
450 Lakeville Road
Entrance A – Radiation Medicine
Lake Success, NY 11042

Goenka, Anuj
Lenox Hill Hospital - Dept of Radiation Medicine
130 East 77th Street
New York, NY 10075

Knisely, Jonathan P.
Center for Advanced Medicine
450 Lakeville Road
Entrance A – Radiation Medicine
Lake Success, NY 11042

Lee, Lucille
Center for Advanced Medicine
450 Lakeville Road
Entrance A – Radiation Medicine
Lake Success, NY 11042

Lim, May
Phelps Hospital - Dept of Radiation Medicine
777 N. Broadway
Sleepy Hollow, NY 10591

Marienberg, Evelyn S.
Imbert Cancer Center - Dept of Radiation Medicine
440 East Main Street
Bay Shore, NY 11706

Glen Cove Hospital - Dept. of Radiation Medicine
101 St. Andrews Lane
Glen Cove, NY 11542

Pollack, Jed
Center for Advanced Medicine
450 Lakeville Road
Entrance A – Radiation Medicine
Lake Success, NY 11042

Potters, Louis
Center for Advanced Medicine
450 Lakeville Road
Entrance A – Radiation Medicine
Lake Success, NY 11042

Sharma, Rajiv
Center for Advanced Medicine
450 Lakeville Road
Entrance A – Radiation Medicine
Lake Success, NY 11042

Teckie, Sewit
Lenox Hill Hospital - Dept of Radiation Medicine
130 East 77th Street
New York, NY 10075

Cancer Institute

Northwell Health Cancer Institute offers cutting-edge treatments and cancer care.