| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1114548278 | BAUCH | SARAH | ELIZABETH | 259 1ST ST LOWR LEVEL | MINEOLA | NY | 115013957 | |
| 1538807177 | MATHEW | SHILPA | 259 1ST ST | MINEOLA | NY | 115013957 | ||
| 1275154593 | PICACHE | DYANA | LAUREN | 259 1ST ST LOWR LEVEL | MINEOLA | NY | 115013957 | |
| 1588286967 | ZELAYA | HECTOR | MANLIO | 259 1ST ST | MINEOLA | NY | 115013957 |