Individual provider · Type 1 NPI
Kim-Anh Ngoc Pham, FNP-C
Primary Care Clinic/Center · Liverpool, NY
NPI number
1730799164
Active
Practice location
201 Monarch Dr
Liverpool, NY 13088-4506
Mailing address
403 Wells Ave W
North Syracuse, NY 13212-2806
Other practice locations
- 403 Wells Ave W, North Syracuse, NY 13212-2806 · (315) 350-0695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Family Nurse Practitioner | 363LF0000X | 346281 (NY) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1730799164
Kim-Anh Ngoc Pham, FNP-C's National Provider Identifier is 1730799164, issued on Jul 31, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Liverpool, NY. The record was last updated on Mar 4, 2025.