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Dr. Timothy Robert Gandolfo, DO
Student in an Organized Health Care Education/Training Program in Binghamton, New York
NPI 1891375671

Timothy Robert Gandolfo is a Student in an Organized Health Care Education/Training Program based in Binghamton, NY. Timothy Robert Gandolfo practices in Binghamton, NY and has the professional credentials of DO. The NPI Number for Timothy Robert Gandolfo is 1891375671 and holds a License No. (New York).

The current practice location address for Timothy Robert Gandolfo is 169 Riverside Dr, Binghamton, NY and can be reached out via phone at 607-798-5897.

Location: 169 Riverside Dr, Binghamton, NY, 13905-4198
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891375671
Provider Name
Timothy Robert Gandolfo
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
169 Riverside Dr, Binghamton, NY, 13905-4198
Phone Number
607-798-5897
Fax Number
Provider Enumeration Date
04/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
169 Riverside Dr
City
Binghamton
State
New York
Zip
13905-4198
Phone Number
607-798-5897
Fax Number
person
Provider Business Mailing Address Details
Address
169 Riverside Dr
City
Binghamton
State
New York
Zip
13905-4198
Phone Number
607-798-5897
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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