| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1780673566 | FOX | STANLEY | ALAN | 585 BROADWAY | MASSAPEQUA | NY | 117585023 | |
| 1619958931 | MARCUS | ROBERT | MORTON | 585 BROADWAY | MASSAPEQUA | NY | 117585023 | |
| 1528057353 | MICELI | CHARLES | KENNETH | 585 BROADWAY | MASSAPEQUA | NY | 117585023 |