MR. GARY L CONDOLUCI


Address: 11020 West Center St Ext, Medina, NY 14103
Phone: 5857271410

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 018165 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 11020 WEST CENTER ST EXT
City MEDINA
State NY
Zip Code 14103

Providers in the same zip code

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 Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City MEDINA
Zip Code 14103

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Dataset Information

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.

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