Individual
FREDERICK JOSEPH GANDOLFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 E MAIN ST STE 1-4, HUNTINGTON, NY 11743-7931
(631) 350-6077
Mailing address
13 CENTRAL ST, HUNTINGTON, NY 11743-2680
(631) 350-6077
(631) 271-2272
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
253535
NY
Other
Enumeration date
02/14/2009
Last updated
02/22/2022
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