| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1780100198 | LEE | KENG | 6823 5TH AVE | BROOKLYN | NY | 112206009 | ||
| 1639695919 | MONIR | MUCHAMMAT | NAZMEN | 6823 5TH AVE FL 2 | BROOKLYN | NY | 112206009 | |
| 1821507187 | RUIZ | SAM | 6823 5TH AVE FL 2 | BROOKLYN | NY | 112206009 |