Individual
BRIELLE DOMINIQUE BAGOZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 LAKEWOOD PINES TRL, SYRACUSE, NY 13209-1161
(315) 447-7761
Mailing address
119 LAKEWOOD PINES TRL, SYRACUSE, NY 13209-1161
(315) 447-7761
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004995
NY
Other
Enumeration date
07/25/2022
Last updated
10/06/2025
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