Organization
TRICIA R VIVLAMORE NP FAMILY HEALTH PC
Active
Other names
Hometown House Calls
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA R VIVLAMORE NP (OWNER)
(315) 297-3896
Entity
Organization
Contact information
Practice address
249A WASHINGTON BLVD., OSWEGO, NY 13126
(315) 297-3896
Mailing address
360 W 3RD ST, OSWEGO, NY 13126-3959
(315) 591-6861
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
335964
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03118816
—
NY
Enumeration date
04/14/2015
Last updated
05/08/2018
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