NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1154375533 | KILLIAN | MARYLOU |   |   | 42084 STATE HIGHWAY 28 | MARGARETVILLE | NY | 124552820 |
1154375822 | LEITNER | VIRGINIA | W |   | 222 ROUTE 299 | HIGHLAND | NY | 125282524 |
1679527956 | ROTH | CHARLES | B |   | 42084 STATE HIGHWAY 28 | MARGARETVILLE | NY | 124552820 |