| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1508029638 | GEORGE | SUNIL | 259 1ST ST | MINEOLA | NY | 115013957 | ||
| 1972850675 | MCWEENEY | DANIEL | 259 1ST ST | MINEOLA | NY | 115013957 | ||
| 1710935788 | ROSENTHAL | BARRY | MARK | 259 FIRST ST | MINEOLA | NY | 11501 | |
| 1346407129 | TAKTAKISHVILI | OTAR | MICHAEL | 259 1ST ST | MINEOLA | NY | 115013957 |