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1992752000
TERESELLA M GONDOLO
ELMHURST, NY
NPI
1992752000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: NY 194211)
Enumeration Date
2006-05-27
Last Update Date
2007-09-07
Business Address
-- TERESELLA M GONDOLO MD
40-08 B FORLEY STREET
ELMHURST, NY 11373
Phone number: 718-803-2400
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Mailing Address
-- TERESELLA M GONDOLO MD
PO BOX 1393
NEW YORK, NY 10028
Phone number: 718-803-2400
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