1. Home
  2. Directory
  3. New York
  4. Jackson Heights
  5. Specialist
  6. NPI Profile

TERESELLA GONDOLO, MDPC
NPI 1043446941
Specialist in Jackson Heights, NY

Active since June 05, 2009
3717 91ST ST, JACKSON HEIGHTS, NY 11372(718) 803-2400(718) 803-2436 Get Directions Write a Review

NPPES record last updated: June 5, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teresella Gondolo, Mdpc NPPES

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

TERESELLA GONDOLO, MDPC (NPI 1043446941) is a healthcare organization registered as a specialist in Jackson Heights, New York and active in the NPI registry since June 2009. The organization lists Teresella Gondolo, Md, as its authorized official.

NPPES Registry Identity

NPI1043446941
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTERESELLA GONDOLO, MDPC
Location Address3717 91ST STJackson Heights, NY 11372-7927
Mailing AddressPo Box 1393New York, NY 10028-0011 · (718) 803-2400 · Fax (718) 803-2436
Phone(718) 803-2400
Fax(718) 803-2436
Organization SubpartNo
Authorized OfficialTeresella GondoloMd · (718) 803-2400
Enumeration DateJune 5, 2009
✔ NPI 1043446941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 194211
Definition
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.
3717 91ST ST, Jackson Heights, NY 11372
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING24578NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Teresella Gondolo, Mdpc's NPI number?

The NPI number for Teresella Gondolo, Mdpc is 1043446941. It was assigned to this organization in the NPPES registry on June 5, 2009.

Where is Teresella Gondolo, Mdpc located?

Teresella Gondolo, Mdpc is located at 3717 91st St, Jackson Heights, NY 11372. The listed phone number is (718) 803-2400.

What is Teresella Gondolo, Mdpc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Teresella Gondolo, Mdpc was last updated on June 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.