NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1649571209 | GOULD | BARBARA | LEE |   | 1329 BEACH CHANNEL DRIVE | FAR ROCKAWAY | NY | 116913211 |
1639304439 | KERR | CLIVE | HENRY |   | 1329 BEACH CHANNEL DR | FAR ROCKAWAY | NY | 116913211 |
1831310424 | STALLWORTH | VANZETTA | YVONNE |   | 35 CYPRESS STREET | WYANDANCH | NY | 11798 |