Patricia P Primomo, DDS
Dentist, General Practice in Niskayuna, NY. Individual provider (NPI-1).
NPI number1932589983
StatusActive
Last updated in NPPESNov 9, 2016
Details
- NPI
- 1932589983
- Entity type
- Individual (NPI-1)
- Name
- Patricia P Primomo
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2015
- Last updated
- Nov 9, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 058619 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2310 Nott Street EastNiskayuna, NY 12309
Phone 518-374-3060 · Fax 518-374-5278
Mailing address
2310 Nott Street EastNiskayuna, NY 12309
Phone 518-374-3060 · Fax 518-374-5278
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 General Practice Dentistry providers in Niskayuna · All 294 providers in Niskayuna
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