| Lisa Gandolfo, MD | |
|
630 W 168th St # Mc28, New York, NY 10032-3725 | |
| (212) 305-1948 | |
| (212) 305-5777 |
| Full Name | Lisa Gandolfo |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 630 W 168th St # Mc28, New York, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194760108 | NPI | - | NPPES |
| W35021 | Other | NY | MEDICARE GROUP # |
| 01424666 | Medicaid | NY | |
| 02186203 | Other | NY | MEDICAID GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 185190-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Gandolfo, MD 630 W 168th St # Mc28, New York, NY 10032-3725 Ph: (212) 305-1948 | Lisa Gandolfo, MD 630 W 168th St # Mc28, New York, NY 10032-3725 Ph: (212) 305-1948 |
Dr. Vincent Graziano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 45 W 11th St, Apt 1a, New York, NY 10011 Phone: 646-407-2044 | |
Dr. Ankur Gupta, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 226 E 29th St, Apt 5d, New York, NY 10016 Phone: 646-621-7240 Fax: 718-343-7463 | |
Dr. Cyril Varghese, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 506 Lenox Ave, New York, NY 10037 Phone: 844-692-4692 | |
Dr. Stephen P Reis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Columbia University Department Of Radiology, 622 West 168th Street Pb-1-301, New York, NY 10032 Phone: 212-305-1948 | |
Dr. Matthew Chiarello, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-5506 | |
Nelly Huppert, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 160 E. 34th St, New York, NY 10016 Phone: 212-731-6033 Fax: 212-731-5513 | |
Dr. Patrick Colin Malloy, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 423 E 23rd St, Radiology Service, New York, NY 10010 Phone: 212-686-7500 |