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Mrs. Vivian L Condello, RN,MS,FNP,IBCLC
Family Nurse Practitioner in Brockport, New York
NPI 1538374129

Vivian L Condello is a Family Nurse Practitioner based in Henrietta, NY and is specialized in Family. Vivian L Condello practices in Brockport, NY and has the professional credentials of RN,MS,FNP,IBCLC. The NPI Number for Vivian L Condello is 1538374129 and holds a License No. 252168-1 (New York).

The current practice location address for Vivian L Condello is 350 New Campus Dr, Brockport, NY and can be reached out via phone at 585-395-2414 and via fax at 585-395-2559.

Location: 350 New Campus Dr, Brockport, NY, 14467-8902
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Provider Profile Details
NPI Number
1538374129
Provider Name
Vivian L Condello
Credential
RN,MS,FNP,IBCLC
Provider Entity Type
Individual
Gender
Female
Address
350 New Campus Dr, Brockport, NY, 14467-8902
Phone Number
585-395-2414
Fax Number
585-395-2559
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RB7031 01 NY MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
350 New Campus Dr
City
State
Zip
14420-2997
Phone Number
585-395-2414
Fax Number
585-395-2559
person
Provider Business Mailing Address Details
Address
350 New Campus Dr
City
State
Zip
14420-2997
Phone Number
585-395-2414
Fax Number
585-395-2559
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Lactation Consultant
Taxonomy
License No.
F332995-1 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
252168-1 (New York)
Definition
Definition to come...
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