- Practice location
- 40-08 B Forley Street, Elmhurst, NY 11373
- Phone
- 718-803-2400
- Fax
- 718-803-2636
- Last updated
- September 7, 2007
Teresella M Gondolo is a Psychiatry & Neurology, Neurology based in Elmhurst, NY. Teresella M Gondolo practices in Elmhurst, NY and has the professional credentials of MD. The NPI Number for Teresella M Gondolo is 1992752000 and holds a License No. 194211 (NY). The current practice location address for Teresella M Gondolo is 40-08 B Forley Street, Elmhurst, NY 11373 and can be reached out via phone at 718-803-2400 and via fax at 718-803-2636.
Provider Profile Details
- NPI Number
- 1992752000
- Provider Name
- Teresella M Gondolo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 40-08 B Forley Street, Elmhurst, NY 11373
- Phone Number
- 718-803-2400
- Fax Number
- 718-803-2636
- Primary Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 27, 2006
- Last Update Date
- September 7, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40-08 B Forley Street
Elmhurst, NY 11373 - City
- Elmhurst
- State
- New York
- Zip
- 11373
- Phone Number
- 718-803-2400
- Fax Number
- 718-803-2636
Provider Business Mailing Address Details
- Address
- Po Box 1393
New York, NY 10028 - City
- New York
- State
- NY
- Zip
- 10028
- Phone Number
- 718-803-2400
- Fax Number
- 718-803-2436
License Information
- License Number
- 194211
- License State
- NY
- Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Teresella M Gondolo, MD?
The NPI number of Teresella M Gondolo, MD is 1992752000. It was assigned on May 27, 2006 and is currently active in the NPPES registry.
What is the specialty of Teresella M Gondolo, MD?
Teresella M Gondolo, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in NY under license number 194211.
Where does Teresella M Gondolo, MD practice?
The practice location is 40-08 B Forley Street, Elmhurst, NY 11373. The office can be reached at 718-803-2400 (phone) or 718-803-2636 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992752000 directly on the NPPES registry website.