Provider Demographics
NPI:1831255926
Name:BARSA, JOHN JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:JOSEPH
Last Name:BARSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:740 WEST END AVENUE
Mailing Address - Street 2:SUITE 5A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6256
Mailing Address - Country:US
Mailing Address - Phone:212-866-0065
Mailing Address - Fax:914-202-8748
Practice Address - Street 1:740 W END AVE
Practice Address - Street 2:SUITE 5A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6246
Practice Address - Country:US
Practice Address - Phone:212-866-0065
Practice Address - Fax:914-202-8748
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY136524-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01139968Medicaid
NY48A782OtherBLUE CROSS BLUE SHIELD
NYP798211OtherOXFORD HEALTH PLANS
NYP798211OtherOXFORD HEALTH PLANS
NY01139968Medicaid