MRS. VIVIAN L CONDELLO RN, MS, FNP, IBCLC
NPI 1538374129
Nurse Practitioner - Family in Brockport, NY

Active since May 14, 2007
350 NEW CAMPUS DR, HAZEN HALL, BROCKPORT, NY 14420(585) 395-2414(585) 395-2559 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Vivian L Condello Rn, Ms, Fnp, Ibclc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. VIVIAN L CONDELLO RN, MS, FNP, IBCLC (NPI 1538374129) is an individual family provider in Brockport, New York, licensed in New York (F332995-1) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1538374129
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. VIVIAN L CONDELLOCredential: RN, MS, FNP, IBCLC
Location Address350 NEW CAMPUS DR, HAZEN HALLBrockport, NY 14420-2997
Mailing Address148 Clooney DrHenrietta, NY 14467-8902 · (585) 334-4049
Fax(585) 395-2559
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateFebruary 4, 2022
NPPES CertifiedFebruary 4, 2022
NPI 1538374129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F332995-1
Also ListedRegistered Nurse · Lactation ConsultantTaxonomy 163WL0100X · License 252168-1 (NY)
350 NEW CAMPUS DR, Brockport, NY 14420

Other Identifiers 1

OtherRB7031NY · Medicare Ptan

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Student Health)
350 NEW CAMPUS DR, HAZEN HALL
BROCKPORT, NY 14420
Specialist/Technologist (Athletic Trainer)
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Nurse Practitioner (Family)
350 NEW CAMPUS DR, HAZEN STUDENT HEALTH CENTER
BROCKPORT, NY 14420
Nurse Practitioner (Family)
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Nurse Practitioner (Family)
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Specialist/Technologist (Athletic Trainer)
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Nurse Practitioner (Adult Health)
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Student in an Organized Health Care Education/Training Program
350 NEW CAMPUS DR
BROCKPORT, NY 14420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian Condello's NPI number?

The NPI number for Vivian Condello is 1538374129. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Vivian Condello located?

Vivian Condello practices at 350 New Campus Dr Hazen Hall, Brockport, NY 14420. The listed phone number is (585) 395-2414.

What is Vivian Condello's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Vivian Condello was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.