Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corissa Lynne Grey

Individual provider Specialist · NPI 1417506114

Corissa Lynne Grey is a Specialist in Oswego, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
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Practice location Address checks out

159 W 1st St
Oswego, NY 13126-2045
Phone: (315) 342-9575
Fax: (315) 342-7664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 858459 (NY)

Record details

NPI number1417506114
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2019
Last updated in NPPESSeptember 5, 2019

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