NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1023524618
FAROOQ
KANWAL
101 NICOLLS RD
STONY BROOK
NY
117948160
1285104588
JOSEPH
JACOB
PARATHODATHIL
PO BOX 1559
STONY BROOK
NY
117900989
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