| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1568407583 | FORMANEK | GREGORY | A | PO BOX 827658 | PHILADELPHIA | PA | 191827658 | |
| 1841252038 | HANSEN | HERBERT | J | 4 PALISADES DR | ALBANY | NY | 122051443 | |
| 1497715189 | RYAN | WILLIAM | F. | 206 E BROWN ST | E STROUDSBURG | PA | 183013006 | |
| 1124217971 | SHIN | SONYO | 206 E BROWN ST | EAST STROUDSBURG | PA | 183013006 |