| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1215952072 | PORT JEFF MEDICAL CARE, PC | 410 HALLOCK AVE | PORT JEFFERSON STATION | NY | 117761232 | |||
| 1306816129 | MORMANDO | ROBERT | 410 HALLOCK AVE | PORT JEFFERSON STATION | NY | 117761232 | ||
| 1316915523 | RODRIGUEZ | MICHAEL | PHILIP | 410 HALLOCK AVE | PORT JEFFERSON STATION | NY | 117761232 |