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

TaxonomyCodeLicense
Specialist Primary 174400000X194211 (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.