| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1609219468 | BROWN | CALVIN | WILLIAM | 346 GRAND AVE | JOHNSON CITY | NY | 137902580 | |
| 1861830812 | CHAMBERS | TRISHA | 346 GRAND AVE | JOHNSON CITY | NY | 137902580 | ||
| 1588002539 | FOSTER | COLETTE | REGINA | 346 GRAND AVE | JOHNSON CITY | NY | 137902580 | |
| 1497193445 | SIBLEY | DONALD | R | 346 GRAND AVE | JOHNSON CITY | NY | 137902580 |