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MRS. SUSAN BAGOZZI LPN
NPI 1245635374
Licensed Practical Nurse in Syracuse, NY

Active since October 31, 2014
125 LAKE COUNTRY DR, SYRACUSE, NY 13209(315) 468-4020 Get Directions Write a Review

NPPES record last updated: October 31, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Susan Bagozzi Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SUSAN BAGOZZI LPN (NPI 1245635374) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (319765-1) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1245635374
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. SUSAN BAGOZZICredential: LPN
Location Address125 LAKE COUNTRY DRSyracuse, NY 13209-1327
Mailing Address125 Lake Country DrSyracuse, NY 13209-1327 · (315) 468-4020
Phone(315) 468-4020
Sole ProprietorYes
Enumeration DateOctober 31, 2014
✔ NPI 1245635374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 319765-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
125 LAKE COUNTRY DR, Syracuse, NY 13209
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Other Identifiers 1

Medicare PIN319765-1NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Bagozzi's NPI number?

The NPI number for Susan Bagozzi is 1245635374. It was assigned to this individual provider in the NPPES registry on October 31, 2014.

Where is Susan Bagozzi located?

Susan Bagozzi practices at 125 Lake Country Dr, Syracuse, NY 13209. The listed phone number is (315) 468-4020.

What is Susan Bagozzi's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Susan Bagozzi was last updated on October 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.