| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1518260207 | BALZANO | LAUREN | M | 259 1ST ST | MINEOLA | NY | 115013957 | |
| 1720641806 | SIM | ASHLEY | N | 259 1ST ST | MINEOLA | NY | 115013957 | |
| 1821566688 | WEIR | CHELSEA | ROSE | 259 1ST ST | MINEOLA | NY | 115013957 |