Provider Demographics
NPI:1295266591
Name:GADOMSKI, THERESE ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:THERESE
Middle Name:ELIZABETH
Last Name:GADOMSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:225 E 64TH ST LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6692
Mailing Address - Country:US
Mailing Address - Phone:646-905-3900
Mailing Address - Fax:646-905-3901
Practice Address - Street 1:2356 SUTTER ST STE J140
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3006
Practice Address - Country:US
Practice Address - Phone:415-353-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA204596207V00000X
NY309634207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology