| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1578678256 | MAKALATIA | NANA | A | 4405 BROADWAY | NEW YORK | NY | 100404014 | |
| 1194244962 | PANIZZA | LILIANA | GARCIA | 4405 BROADWAY | NEW YORK | NY | 100404014 | |
| 1558829341 | REYNOSO | GENILL | 4405 BROADWAY | NEW YORK | NY | 100404014 | ||
| 1316246994 | SINGH | PRABHJOT | 4405 BROADWAY | NEW YORK | NY | 100404014 |