NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1154411809 |   |   |   | QLIMG NEW HYDE PARK MED. OFFICE | 2035 LAKEVILLE RD | NEW HYDE PARK | NY | 110401661 |
1700832250 | CERVANTES | JOCELYN | M. |   | 2035 LAKEVILLE RD | NEW HYDE PARK | NY | 110401661 |