LISA GANDOLFO
NPI 1124562277
Registered Nurse - School in Brooklyn, NY

Active since December 08, 2016
1139 CONEY ISLAND AVE, BROOKLYN, NY 11230(718) 724-1730(718) 724-1735 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Gandolfo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA GANDOLFO (NPI 1124562277) is an individual school provider in Brooklyn, New York, licensed in Louisiana (387742-1) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1124562277
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameLISA GANDOLFO
Location Address1139 CONEY ISLAND AVEBrooklyn, NY 11230-2305
Mailing Address1139 Coney Island AveBrooklyn, NY 11230-2305 · (718) 724-1730 · Fax (718) 724-1735
Fax(718) 724-1735
Sole ProprietorNo
Enumeration DateDecember 8, 2016
NPI 1124562277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License Licensed in LA · 387742-1
1139 CONEY ISLAND AVE, Brooklyn, NY 11230

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1139 CONEY ISLAND AVE
BROOKLYN, NY 11230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Gandolfo's NPI number?

The NPI number for Lisa Gandolfo is 1124562277. It was assigned to this individual provider in the NPPES registry on December 8, 2016.

Where is Lisa Gandolfo located?

Lisa Gandolfo practices at 1139 Coney Island Ave, Brooklyn, NY 11230. The listed phone number is (718) 724-1730.

What is Lisa Gandolfo's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Lisa Gandolfo was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.