NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1518401082 | GODBEE | NINA | LARYSSA |   | 1623 KINGS HWY | BROOKLYN | NY | 112291209 |
1679019889 | POP | ANATOLIY |   |   | 1623 KINGS HWY | BROOKLYN | NY | 112291209 |
1326583337 | TAVERAS | EDWIN |   |   | 1623 KINGS HWY, BROOKLYN, NY 11229 | BROOKLYN | NY | 11229 |