Individual provider · Type 1 NPI

Timothy Robert Gandolfo, DO

Family Medicine Physician · Northport, NY

NPI number 1891375671 Active

Practice location

79 Middleville Rd
Northport, NY 11768-2200

Call (631) 261-4400 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X330997 (NY)
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X330997 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1891375671

Timothy Robert Gandolfo, DO's National Provider Identifier is 1891375671, issued on Apr 14, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Northport, NY. The record was last updated on Aug 26, 2026.