| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1215923990 | DAVIDENKO | JORGE | M | 134 HOMER AVE | CORTLAND | NY | 130451206 | |
| 1649266156 | GRELLA | BETH | A | 134 HOMER AVE | CORTLAND | NY | 130451206 | |
| 1265423743 | SNYDER | LISA | SIMONETTA | 134 HOMER AVE | CORTLAND | NY | 130451206 |