ProviderBusinessMailingAddressFaxNumber = '8454575556'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1003845918 | ALBANESE | JANET | M | | 20 WALNUT STREET | MONTGOMERY | NY | 12549 |
| 1982631958 | ALBANESE | SHANNON | M | | 20 WALNUT STREET | MONTGOMERY | NY | 12549 |
| 1598792855 | BANSE | KRISTIN | E | | 20 WALNUT STREET | MONTGOMERY | NY | 12549 |
| 1356505796 | BARRIO | KIMMY | P | | 20 WALNUT ST | MONTGOMERY | NY | 125492260 |
| 1538199039 | BLOCH | SUSAN | E | | 20 WALNUT STREET | MONTGOMERY | NY | 12549 |
| 1992751309 | CONKLIN | DOLLY | ANN | | 3298 ROUTE 94 | CHESTER | NY | 109184106 |
| 1780833616 | MCDONALD | EMILY | C | | 20 WALNUT ST | MONTGOMERY | NY | 125492260 |
| 1164430823 | MOTTA-CONKLIN | JENNIFER | L | | 20 WALNUT ST | MONTGOMERY | NY | 125492230 |
| 1720014822 | STAFFORD | KEVIN | A | | 20 WALNUT ST | MONTGOMERY | NY | 125492260 |
| 1265662571 | SUZZAN | RHONDA | B | | 20 WALNUT ST | MONTGOMERY | NY | 125492260 |
| 1639397045 | TELGHEDER | SARAH | J | | 20 WALNUT ST | MONTGOMERY | NY | 125492230 |
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