NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1366073652 | GALLISDORFER | PATRICIA | ANN |   | 1680 WALDEN AVE | CHEEKTOWAGA | NY | 142254914 |
1265947741 | HEBA | MARK |   |   | 1680 WALDEN AVE | CHEEKTOWAGA | NY | 142254914 |
1164987095 | SHARP | MARY |   |   | 1680 WALDEN AVE | CHEEKTOWAGA | NY | 142254914 |