SearchNew York163WS0200X

Lisa Gandolfo

NPI 1124562277 · on the registry since 2016

Practice

Address
1139 Coney Island Ave
Brooklyn, NY 11230
Phone
(718) 724-1730
Fax
(718) 724-1735
Clinicians at this address
2

Registry record

Primary taxonomy
163WS0200X
163WS0200X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York