NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1609930783 |   |   |   | LIFES BOUNTY MEDICAL CARE P C | 96 MIDLAND RD | STATEN ISLAND | NY | 103082918 |
1003897935 | SCOPELLITO-OLSEN | ANNA | MARIE |   | 96 MIDLAND RD | STATEN ISLAND | NY | 103082918 |