Tricia R Vivlamore Np Family Health PC

NPI #1154717379 in Oswego, New York

Provider Information

NPI Number: 1154717379
Entity Type: Organization
Organization Name: Tricia R Vivlamore Np Family Health PC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Apr 14, 2015
Last Updated: May 8, 2018

Practice Location

Address: 249A WASHINGTON BLVD.
City: Oswego
State: New York
ZIP Code: 13126
Phone: (315) 297-3896

Authorized Official

Name: TRICIA R VIVLAMORE, NP
Title: OWNER
Phone: (315) 297-3896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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