Individual
MRS. GENEVIEVE S BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
106 BERKELEY PL, BROOKLYN, NY 11217-3604
(917) 442-8098
Mailing address
106 BERKELEY PL, BROOKLYN, NY 11217-3604
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
6065
NY
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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