National Provider Identifier
Gary L Condoluci, LMT
Gary L Condoluci, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Medina, NY and a listed phone number of (585) 727-1410.
Profile Overview
- NPI
- 1720253883
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- April 29, 2008
- Last Updated
- May 08, 2008
Practice Location
- 11020 West Center St Ext
- Medina, NY 14103
Phone: (585) 727-1410
Mailing Address
- 4 Heritage Estates
- Albion, NY 14411
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1720253883
- Entity Type
- Individual
- Last Name
- Condoluci
- First Name
- Gary
- Middle Name
- L
- Name Prefix
- Mr.
- Credential
- LMT
- Mailing Street Address
- 4 Heritage Estates
- Mailing City
- Albion
- Mailing State
- NY
- Mailing ZIP Code
- 14411
- Mailing Country
- US
- Mailing Phone
- (585) 727-1410
- Mailing Fax
- (585) 798-0883
- Practice Street Address
- 11020 West Center St Ext
- Practice City
- Medina
- Practice State
- NY
- Practice ZIP Code
- 14103
- Practice Country
- US
- Practice Phone
- (585) 727-1410
- Practice Fax
- (585) 798-0883
- Enumeration Date
- April 29, 2008
- Last Updated
- May 08, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)