Bagozzi, Brielle Dominique

Bagozzi, Brielle Dominique is an sole proprietor health care provider with primary practice located at 119 Lakewood Pines Trl , Syracuse NY 13209-1161. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Bagozzi, Brielle Dominique can be contacted via phone (315) 447-7761.

Contact Information

Primary practice address
119 Lakewood Pines Trl Syracuse NY 13209-1161
Phone: (315) 447-7761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1730815671
LBN Legal business name Bagozzi, Brielle Dominique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2022
Last updated Jul 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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