Organization · Type 2 NPI

Tricia R Vivlamore NP Family Health PC

Primary Care Clinic/Center · Oswego, NY

NPI number 1154717379 Active

Practice location

249A Washington Blvd.
Oswego, NY 13126

Mailing address

360 W 3rd St
Oswego, NY 13126-3959

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X335964 (NY)

Primary Care Clinic/Center: Definition to come...

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About NPI 1154717379

Tricia R Vivlamore NP Family Health PC's National Provider Identifier is 1154717379, issued on Apr 14, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Oswego, NY. The record was last updated on May 8, 2018.