| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1699786582 | LABONTE | KRISTINA | D | 67 MAPLE AVE | DERBY | CT | 064181328 | |
| 1770666059 | MAURIELLO | MAGDALEN | S | 67 MAPLE AVE | DERBY | CT | 064181328 | |
| 1780889493 | SPIVAK | ROMAN | 67 MAPLE AVE | DERBY | CT | 064181328 |