NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1215952072 |   |   |   | PORT JEFF MEDICAL CARE, PC | 410 HALLOCK AVE | PORT JEFFERSON STATION | NY | 117761232 |
1912369935 | CARNEY | DEBORAH |   |   | 410 HALLOCK AVE | PORT JEFFERSON STATION | NY | 117761232 |
1306816129 | MORMANDO | ROBERT |   |   | 410 HALLOCK AVE | PORT JEFFERSON STATION | NY | 117761232 |