Organization · Type 2 NPI
Teresella Gondolo Medical PC
Specialist · Jackson Heights, NY
NPI number
1043446941
Active
Practice location
3717 91st St
Jackson Heights, NY 11372-7927
Fax (718) 803-2436
Mailing address
PO Box 1393
New York, NY 10028-0011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 194211 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1043446941
Teresella Gondolo Medical PC's National Provider Identifier is 1043446941, issued on Jun 5, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jackson Heights, NY. The record was last updated on Aug 12, 2026.