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

Lisa Gandolfo, MD

Individual provider Diagnostic Radiology Physician · NPI 1194760108

Lisa Gandolfo, MD is a Diagnostic Radiology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

630 W 168th St # MC28
New York, NY 10032-3725
Phone: (212) 305-1948
Fax: (212) 305-5777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 185190-1 (NY)

Record details

NPI number1194760108
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2006
Last updated in NPPESNovember 27, 2007

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