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Contact Information

JARROD L BAGATELL, MD
115 FAIRGROUNDS DRIVE
MANLIUS, NY13104
 Phone: 315-682-6165
 Fax: 315-682-7929
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JARROD L BAGATELL · (Male)

NPI # 1144335845
Status Active
Credentials MD
Entity Individual
Enumeration date 08/20/2006
Last updated 11/15/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 1979451
  • NY Medicaid 01690422
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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