NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1871824474 |   |   |   | CSR OUTPATIENT MEDICAL SERVICES, LLC | 585 BROADWAY | MASSAPEQUA | NY | 117585023 |
1952446189 |   |   |   | BROADWAY INTERNAL MEDICINE ASSOCIATES P.C. | 585 BROADWAY | MASSAPEQUA | NY | 11758 |
1780673566 | FOX | STANLEY | ALAN |   | 585 BROADWAY | MASSAPEQUA | NY | 117585023 |
1992796288 | LAROSA | CHRISTOPHER |   |   | 585 BROADWAY | MASSAPEQUA | NY | 11758 |
1619958931 | MARCUS | ROBERT | MORTON |   | 585 BROADWAY | MASSAPEQUA | NY | 117585023 |
1528057353 | MICELI | CHARLES | KENNETH |   | 585 BROADWAY | MASSAPEQUA | NY | 117585023 |