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Individual

MS. BEVERLY PATRICIA BAGLIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2800 SWEETHOME RD, # 8, AMHERST, NY 14228
(716) 479-5304
Mailing address
946 UNDERHILL RD, E AURORA, NY 14052
(716) 687-1198
(716) 687-1198

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PR0233091
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00025502401AN6024
UNIVERA
01
000526355002
BLUE CROSS BLUE SHIELD
01
6290294
IHA
Enumeration date
02/02/2007
Last updated
07/08/2007
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