Provider Demographics
NPI:1831539782
Name:BAGLIO, DEBRA ANN (MS ED)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:BAGLIO
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:SPINELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS ED
Mailing Address - Street 1:80 WOODROW RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-1313
Mailing Address - Country:US
Mailing Address - Phone:718-356-0008
Mailing Address - Fax:718-356-6566
Practice Address - Street 1:80 WOODROW RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-1313
Practice Address - Country:US
Practice Address - Phone:718-356-0008
Practice Address - Fax:718-356-6566
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY774705971174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist