Lionel Gondolfo

NPI #1144871146 in East Islip, New York

Provider Information

NPI Number: 1144871146
Entity Type: Individual
Name: Lionel Gondolfo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Sep 23, 2019
Last Updated: Sep 23, 2019

Practice Location

Address: 269 E MAIN ST
City: East Islip
State: New York
ZIP Code: 11730-2730
Phone: (631) 321-3493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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