Provider Demographics
NPI:1427518067
Name:BARSS, COREY JAMES (ATP)
Entity type:Individual
Prefix:
First Name:COREY
Middle Name:JAMES
Last Name:BARSS
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 S GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:12833-1303
Mailing Address - Country:US
Mailing Address - Phone:518-488-2171
Mailing Address - Fax:
Practice Address - Street 1:1332 UPLAND DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-4719
Practice Address - Country:US
Practice Address - Phone:713-468-0696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other