Teresa Marie Gandarillas, M.A. ED.

Primary specialty

SpecialistTaxonomy code 174400000X

License

803394 Issued in NY

Practice address

538 Broadhollow Rd
Suite 202
Melville, NY 11747-3676

Phone

(631) 385-7780

Fax

(631) 385-7795

NPI assigned

Jan 9, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1740527837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ARLENE ST",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381427",
            "telephone_number": "631-846-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 BROADHOLLOW RD",
            "address_2": "SUITE 202",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473676",
            "telephone_number": "631-385-7780",
            "fax_number": "631-385-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDARILLAS",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A. ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "803394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica R Galletti
• Laura Gallo
• Nicole Marie Gallo
• Carly Galvin
• Gamez Medical PC
• Tracy Gangi, PSY.D.
• Mariana Garay
• Melissa Garber
• Vanessa Garces, RN
• Andy Julissa Garcia Soto, LMT

• Specialist in Melville, NY
• Providers in Melville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.