Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy Robert Gandolfo, DO

Individual provider Family Medicine Physician · NPI 1891375671

Dr. Timothy Robert Gandolfo, DO is a Family Medicine Physician in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

101 County Rd 97
Stony Brook, NY 11794-0001
Phone: (631) 689-8333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 330997 (NY)

Record details

NPI number1891375671
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 14, 2021
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address101 County Rd 97, Stony Brook, NY 11794-0001

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