NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1487858601 | BEASLEY | LAUREN | E |   | 4175 VETERANS MEMORIAL HWY | RONKONKOMA | NY | 117797639 |
1093028987 | CALEFATI | STEPHANIE |   |   | 4175 VETERANS MEMORIAL HWY | RONKONKOMA | NY | 117797639 |
1689813362 | LEASE | KELLY | ANNE |   | 4175 VETERANS MEMORIAL HWY | RONKONKOMA | NY | 117797639 |