| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1063424828 | CARRUCCIU | JOSEPH | M | 625 BELLE TERRE RD | PORT JEFFERSON | NY | 117772316 | |
| 1538161005 | GORBATSEVICH | ALEXANDER | 625 BELLE TERRE RD | PORT JEFFERSON | NY | 117772316 | ||
| 1245221167 | SOKOL | JACOB | DETLEF | 625 BELLE TERRE RD | PORT JEFFERSON | NY | 117772316 |