Frederick Gandolfo (NPI# 1053550079, PAC ID# 5092970731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1053550079 |
| PAC ID by PECOS | 5092970731 |
| Professional Enrollment ID | I20120703000484 |
| Full Name | Frederick Gandolfo |
| Address |
205 E Main St Suite 1 4 Huntington NY 11743-7931 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | GASTROENTEROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330045 | NS/LIJ HS HUNTINGTON HOSPITAL |
| 330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
| Address | Phone | Organization |
|---|---|---|
| 205 E Main St, Suite 1 4, Huntington, NY 11743-7931 |
| Street Address |
205 E MAIN ST SUITE 1 4 |
| City | HUNTINGTON |
| State | NY |
| Zip | 11743-7931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce Marsh | Psychologist, Clinical | 205 E Main St, Suite 2 3c, Huntington, NY 11743-2923 | |
| Jason H Mccloud | Optometry | 205 E Main St, Grayson, KY 41143-1303 | |
| Ian L Bourhill | Plastic and Reconstructive Surgery | 205 E Main St, Suite 1 6, Huntington, NY 11743-7930 | |
| Breck Laudenberger | Podiatry | 205 E Main St, Elkton, MD 21921-5779 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Fuchs | Clinical Social Worker | 45 Bay Ave, Huntington, NY 11743-1206 | |
| Alan Russell Weiss | Psychologist, Clinical | 4 Falcon Pl, Halesite, NY 11743-1427 | |
| Alice Byrne | Clinical Social Worker | 107 Fleets Cove Rd, Huntington, NY 11743-1517 | |
| Leslie R Welsch | Registered Dietitian Or Nutrition Professional | 51 Knollwood Rd, Huntington, NY 11743-1527 | |
| Harris M Flug Sr. | Clinical Social Worker | 43 Cedar Valley Ln, Huntington, NY 11743-1807 | |
| Kay Posillico | Clinical Social Worker | 57 Wendover Dr, Huntington, NY 11743-2034 | |
| Josephine Roberto | Clinical Social Worker | 40 Cliftwood Dr, Huntington, NY 11743-2103 | |
| Georgia Yesmont | Psychologist, Clinical | 14 Ketewomoke Dr, Halesite, NY 11743-2137 | |
| Stacy J Aslan | Chiropractic | 146 New York Ave, Huntington, NY 11743-2150 | |
| Steven H Login | Physical Therapy | 52 Wall St, Huntington, NY 11743-2181 | |
| Find all physicians in zip 11743 | |||
| City | HUNTINGTON |
| Zip Code | 11743 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | HUNTINGTON + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Frederick Gandolfo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.