| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1366410524 | BURPEE | CHARLES | ALAN | 346 GRAND AVE | JOHNSON CITY | NY | 137902580 | |
| 1336579044 | DALY | ERIN | 346 GRAND AVE | JOHNSON CITY | NY | 137902580 | ||
| 1942502950 | TREADWELL | SHANNA | L | 346 GRAND AVE | JOHNSON CITY | NY | 137902580 |