NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1780100198 | LEE | KENG |   |   | 6823 5TH AVE | BROOKLYN | NY | 112206009 |
1639695919 | MONIR | MUCHAMMAT | NAZMEN |   | 6823 5TH AVE FL 2 | BROOKLYN | NY | 112206009 |
1821507187 | RUIZ | SAM |   |   | 6823 5TH AVE FL 2 | BROOKLYN | NY | 112206009 |