NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1750619581 |   |   |   | JASON HALEGOUA, M.D., P.C. | 3241 ROUTE 112 | MEDFORD | NY | 117631434 |
1013023555 | HALEGOUA | JASON |   |   | 2799 ROUTE 112 | MEDFORD | NY | 117632535 |
1225076722 | IYPE | JAY |   |   | 2799 ROUTE 112 | MEDFORD | NY | 11763 |
1518454610 | LONGJOHN | CYNTHIA |   |   | 2799 ROUTE 112 STE 11 | MEDFORD | NY | 117632535 |
1417508946 | PARKER | DEVIN | VERONICA |   | 2799 ROUTE 112 STE 7&11 | MEDFORD | NY | 117632535 |
1184857336 | TYCHNOWITZ | JANELLE | LYNN |   | 3241 ROUTE 112 | MEDFORD | NY | 117631434 |
1194492918 | WILLIAMS | KEISHA | ANN MONIQUE |   | 2799 ROUTE 112 STE 11&7 | MEDFORD | NY | 117632535 |