NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1467423764 | CORSONES | JAMES | P |   | 396 BROADWAY | KINGSTON | NY | 124014626 |
1447630785 | FAROOQ | KHURRAM |   |   | 42084 STATE HIGHWAY 28 | MARGARETVILLE | NY | 124552820 |
1417443433 | MAINIERI | TARA | LAINE |   | 396 BROADWAY | KINGSTON | NY | 124014626 |