Individual provider · Type 1 NPI

Brad Michael Gandolfi, MD

Plastic Surgery Physician · New York, NY

NPI number 1003131053 Active

Practice location

25 5th Ave Apt 1F
New York, NY 10003-4308

Fax (212) 287-7210

Other practice locations

  • 4 W 58th St Fl 11, New York, NY 10019-2515 · (212) 355-7980
  • 30 N Dean St, Englewood, NJ 07631-2807 · (212) 287-7211
  • 905 5th Ave Ste 1C, New York, NY 10021-4156 · (212) 287-7211

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000X25MA10153500 (NJ)
Plastic Surgery Physician 208200000X142117 (CA)
Plastic Surgery Physician Primary 208200000X292312-1 (NY)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1003131053

Brad Michael Gandolfi, MD's National Provider Identifier is 1003131053, issued on Apr 2, 2010. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in New York, NY. The record was last updated on Mar 20, 2025.