| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1841288750 | BAYNE | DAVID | PETER | 346 GRAND AVE | JOHNSON CITY | NY | 137902580 | |
| 1588734024 | HODGEMAN | PAUL | 346 GRAND AVE | JOHNSON CITY | NY | 137902580 | ||
| 1316342959 | VILLANTI | JODI | 346 GRAND AVE | JOHNSON CITY | NY | 137902580 |