MR. GARY L CONDOLUCI (NPI# 1720253883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720253883 |
Entity Type | Individual |
Full Name | MR. GARY L CONDOLUCI |
Credential | LMT |
Practice Address |
11020 West Center St Ext Medina NY 14103 |
Mailing Address |
4 Heritage Estates Albion NY 14411 |
Practice Telephone | 5857271410 |
Practice Fax Number | 5857980883 |
Mailing Telephone | 5857271410 |
Mailing Fax Number | 5857980883 |
Enumeration Date | 2008-04-29 |
Last Update Date | 2008-05-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 018165 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
11020 WEST CENTER ST EXT |
City | MEDINA |
State | NY |
Zip Code | 14103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063772473 | Melody Ann Parker | Licensed Practical Nurse | 1026 Park Avenue, Medina, NY 14103 | 2012-05-18 |
1437280955 | Orleans Community Health | Clinic/Center | 11020 West Center Street Ext., Medina, NY 14103 | 2007-03-08 |
1902933328 | Sallah U Abbasey | Homeopath | 3662 Culvert Road, Medina, NY 14103 | 2007-02-27 |
1548395429 | Salvatore Russell Pecoraro | Emergency Medicine | 200 Ohio Street, Medina Memorial Hospital, Medina, NY 14103 | 2007-02-22 |
1285783704 | Medina Central School District | Local Education Agency (LEA) | One Mustang Drive, Medina, NY 14103 | 2007-01-10 |
1639278310 | Ekram John Boulos | Otolaryngology | 11075 West Center Street Extension, Medina, NY 14103 | 2006-09-21 |
1598771289 | Katherine Price | Midwife | 100 Ohio Street, Medina, NY 14103 | 2006-08-01 |
1831156967 | Nadia Alexandra Nava | Physical Therapist | 711 Park Ave, Medina, NY 14103 | 2006-05-01 |
1336104090 | Amy Sue Herman | Pharmacist | 526 Main Street, Rosenkrans Pharmacy, Medina, NY 14103 | 2006-04-18 |
1124097878 | Arthur W Mruczek Sr. | Ophthalmology | 500 Erie Street South, Lake Plains Eye Center, Medina, NY 14103 | 2006-03-15 |
Find all providers in zip 14103 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174154835 | Robyn Norman | Massage Therapist | 1392 Medina Rd Apt B, Medina, OH 44256-5332 | 2020-01-31 |
1699232199 | Carin Marks | Massage Therapist | 5550 Carriage Ln, Medina, OH 44256-6541 | 2019-02-21 |
1699132217 | Katie Crooks | Massage Therapist | 447-449 Main St, Suite 2, Medina, NY 14103-1416 | 2016-01-27 |
1134521016 | Jay Russell Jeffries | Massage Therapist | 2229 Evergreen Point Rd, Medina, WA 98039-2342 | 2014-09-22 |
1316364979 | Roger W Buttrick | Massage Therapist | 7533 Stone Rd, Medina, OH 44256-8996 | 2014-03-20 |
1669618443 | Yvonne Marie Fey | Massage Therapist | 1075 S Court St Ste 200, Medina, OH 44256-3836 | 2008-12-26 |
1104232628 | Deanne Pennell | Massage Therapist | 445 W Liberty St, Suite 100, Medina, OH 44256-2273 | 2014-07-03 |
1528491271 | Melissa Janine Trombley | Massage Therapist | 750 E Washington St, Suite A1, Medina, OH 44256-2196 | 2013-08-16 |
1679820708 | Jennifer Lynn Wigal | Massage Therapist | 155 Northland Dr, Medina, OH 44256-1534 | 2012-08-08 |
1184971350 | Rachel Joy Osterland | Massage Therapist | 155 Northland Dr, Medina, OH 44256-1534 | 2012-08-07 |
Find all providers in MEDINA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.