| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1649617879 | BATTISTA | JACKIE | J | 327 BEACH 19TH ST | FAR ROCKAWAY | NY | 116914423 | |
| 1902330400 | KIM | CHANG YONG | 327 BEACH 19TH ST | FAR ROCKAWAY | NY | 116914423 | ||
| 1255719415 | TEAGUE | TERRI | JO | 327 BEACH 19TH ST | FAR ROCKAWAY | NY | 116914423 |