NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1396823662 |   |   |   | MARIA G IKOSSI MD PHD FACS | 10 HIGH ST | LEWISTON | ME | 04240 |
1790060549 | CEDERNA | JOHN | P |   | PO BOX 1638 | ALBANY | NY | 122011638 |
1962480459 | CLARK | JUSTIN |   |   | PO BOX 1638 | ALBANY | NY | 122011638 |
1043297146 | O'ROURKE | MARSHA | C |   | PO BOX 1638 | ALBANY | NY | 122011638 |