Individual
DR. BRAD MICHAEL GANDOLFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 5TH AVE APT 1F, NEW YORK, NY 10003-4308
(212) 287-7211
(212) 287-7210
Mailing address
25 5TH AVE APT 1F, NEW YORK, NY 10003-4308
(212) 287-7211
(212) 287-7210
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
142117
CA
208200000X
Plastic Surgery Physician
25MA10153500
NJ
208200000X
Plastic Surgery Physician
Primary
292312-1
NY
Other
Enumeration date
04/02/2010
Last updated
03/20/2025
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