Frederick Joseph Gandolfo M.D.

NPI 1053550079 - Internal Medicine - 207RG0100X

NPI Details
NPI 1053550079
Gender Male
Enumeration Date 02/14/2009
Last Updated 03/08/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
1991 MARCUS AVE
SUITE 101
NEW HYDE PARK NY, 11042-2058, US
Phone (516) 365-4949
Fax (516) 365-5462
Business Location
1991 MARCUS AVE
SUITE 101
NEW HYDE PARK NY, 11042-2058, US
Phone (516) 365-4949
Fax (516) 365-5462
Toxanomy
Taxonomy Code 207RG0100X
License State New York
License Number 253535
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According to our database, Frederick Joseph Gandolfo M.D. NPI is 1053550079, taxonomy code is 207RG0100X and license number is 253535, license state is located at New York. Frederick Joseph Gandolfo M.D. physically located at 1991 Marcus Ave, New Hyde Park NY, 11042-2058. NPI Number Frederick Joseph Gandolfo M.D. has the Individual type.

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1053550079 NPI number is provided on an as is basis without warranty of any kind. 1053550079 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick Joseph Gandolfo M.D. are for informational purposes only.