Individual
GARY DEFILIPPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
333 METRO PARK STE M103, ROCHESTER, NY 14623-2632
(585) 376-2225
Mailing address
192 EVERGREEN RD, BROCKPORT, NY 14420-1110
(585) 376-2225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013039
NY
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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