Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brielle Dominique Bagozzi

Individual provider Athletic Trainer · NPI 1730815671

Brielle Dominique Bagozzi is an Athletic Trainer in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

119 Lakewood Pines Trl
Syracuse, NY 13209-1161
Phone: (315) 447-7761
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 004995 (NY)

Record details

NPI number1730815671
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 25, 2022
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address119 Lakewood Pines Trl, Syracuse, NY 13209-1161

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