NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1124275094 | GHANNY | STEVEN | NIGEL |   | 30 PROSPECT AVENUE | HACKENSACK | NJ | 076011914 |
1376746990 | MARESCA | MICHELLE | MARIE |   | 30 PROSPECT AVE | HACKENSACK | NJ | 076011915 |
1144425927 | MARINO | GINA |   |   | 30 PROSPECT AVE | HACKENSACK | NJ | 07601 |
1033598370 | TELL | SHOSHANA | SOPHIE ROTHMAN |   | 30 PROSPECT AVE | HACKENSACK | NJ | 076011915 |