Mr Gary L Condoluci, LMT is a
Massage Therapist based in Medina, New York. Mr Gary L Condoluci is licensed to practice in New York (license number 018165) and his current practice location is
11020 West Center St Ext, Medina, New York. He can be reached at his office (for appointments etc.) via phone at
(585) 727-1410.
NPI number for Mr Gary L Condoluci is 1720253883 and his current mailing address is 4 Heritage Estates, Albion, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720253883.
Healthcare Provider's Profile
| Full Name | Mr Gary L Condoluci |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 11020 West Center St Ext, Medina, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720253883
- Provider Enumeration Date: 04/29/2008
- Last Update Date: 05/08/2008
Medical Identifiers
Medical identifiers for Mr Gary L Condoluci such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720253883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 018165 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gary L Condoluci is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Gary L Condoluci, LMT
4 Heritage Estates,
Albion, NY 14411
Ph: (585) 727-1410 | Mr Gary L Condoluci, LMT
11020 West Center St Ext,
Medina, NY 14103
Ph: (585) 727-1410 |
Reviews and Comments