| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1568600625 | DOUGLAS | GREGORY | LANDELLS | 1276 FULTON AVE | BRONX | NY | 104563402 | |
| 1740603364 | HANIF | AMINA | 1276 FULTON AVE | BRONX | NY | 104563402 | ||
| 1114165198 | MARTINEZ | ISIDORO | D | 1276 FULTON AVE | BRONX | NY | 104563402 | |
| 1346488426 | SANTIAGO | AWILDA | 1276 FULTON AVE | BRONX | NY | 104563402 |