| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1003817057 | GALLAGHER | KEVIN | 346 GRAND AVENUE | JOHNSON CITY | NY | 137902558 | ||
| 1841284387 | MILLER | EDWARD | D | 346 GRAND AVE | JOHNSON CITY | NY | 137902558 | |
| 1740537398 | MILLER | KELLY | ELIZABETH | 346 GRAND AVE | JOHNSON CITY | NY | 137902580 |