ProviderBusinessMailingAddressFaxNumber = '9144001500'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1275276461
LAKES
MELISSA
139 E 57TH ST
NEW YORK
NY
100222102
1083744874
PALESTIS
PAUL
E
1015 SAW MILL RIVER RD
ARDSLEY
NY
105021118
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