| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1003303132 | DAVID | MICHAEL | ELLERIN | 234 E 149TH ST | BRONX | NY | 104515504 | |
| 1073141628 | MAQSOOD | MUHAMMAD HAISUM | 234 E 149TH ST | BRONX | NY | 104515504 | ||
| 1043849466 | MARTINEZ | ERIC | MIGUEL | 234 E 149TH ST STE 5-337 | BRONX | NY | 104515504 |