NPI 1003131053

Brad Michael Gandolfi, MD

Practitioner Plastic Surgery Physician New York, NY

Practice location

Address: 25 5th Ave APT 1f, New York, NY 10003-4308
Phone: (212) 287-7211
Fax: (212) 287-7210

Registered specialties (3)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 292312-1 (NY)

Other Plastic Surgery providers in New York →

Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 25MA10153500 (NJ)

Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 142117 (CA)

Registry record

NPI: 1003131053
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Apr 2010
Record last updated: 20 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.