NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1891893558 | BURNETT | SEAN | DEVON |   | 8900 VAN WYCK EXPY | JAMAICA | NY | 114182897 |
1669495339 | DOUGHLIN | KENNETH | GEOFFREY |   | 8900 VAN WYCK EXPY | JAMAICA | NY | 114182897 |
1891715173 | PELCZAR | JOSEPH |   |   | 8900 VAN WYCK EXPY | RICHMOND HILL | NY | 114182897 |
1235242736 | SOTO | ANA | BERENICE |   | 8900 VAN WYCK EXPY | JAMAICA | NY | 114182897 |