| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1700128964 | BEENKEN | ANDREW | SAMUEL | 630 W 168TH ST # 4 | NEW YORK | NY | 100323725 | |
| 1083971782 | KNOTTS | RITA | MARIA | 630 W 168TH ST | NEW YORK | NY | 100323725 | |
| 1104244102 | MADHAVAN | MAHESH | VASANTHA | 630 W 168TH ST | NEW YORK | NY | 100323725 | |
| 1346680857 | STEVENS | JACOB | S | 630 W 168TH ST # 4 | NEW YORK | NY | 100323725 |