Individual
MR. GARY L CONDOLUCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11020 WEST CENTER ST EXT, MEDINA, NY 14103
(585) 727-1410
(585) 798-0883
Mailing address
4 HERITAGE ESTATES, ALBION, NY 14411
(585) 727-1410
(585) 798-0883
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018165
NY
Other
Enumeration date
04/29/2008
Last updated
05/08/2008
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