NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1215952072 |   |   |   | PORT JEFF MEDICAL CARE, PC | 410 HALLOCK AVE | PORT JEFFERSON STATION | NY | 117761232 |
1306816129 | MORMANDO | ROBERT |   |   | 410 HALLOCK AVE | PORT JEFFERSON STATION | NY | 117761232 |
1316915523 | RODRIGUEZ | MICHAEL | PHILIP |   | 410 HALLOCK AVE | PORT JEFFERSON STATION | NY | 117761232 |
1326388695 | SMITH | JOHANNA | M |   | 2800 MARCUS AVE | NEW HYDE PARK | NY | 110421113 |