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Organization
TERESELLA GONDOLO MEDICAL PC
Active
Organization
TERESELLA GONDOLO MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESELLA GONDOLO MD (MD/OWNER)
(718) 803-2400
Entity
Organization
Contact information
Practice address
3717 91ST ST, JACKSON HEIGHTS, NY 11372-7927
(718) 803-2400
(718) 803-2436
Mailing address
PO BOX 1393, NEW YORK, NY 10028-0011
(718) 803-2400
(718) 803-2436
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
194211
NY
Other
Enumeration date
06/05/2009
Last updated
08/12/2026
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