NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1609272848 | BICK-O'CONNOR | JAIMIE |   |   | 4175 VETERANS MEMORIAL HWY | RONKONKOMA | NY | 117797639 |
1235614538 | DEMALO | KATELYN | ELIZABETH |   | 1377 MOTOR PKWY STE 307 | ISLANDIA | NY | 117495258 |
1356694947 | FEIT | LORI |   |   | 4175 VETERANS MEMORIAL HWY | RONKONKOMA | NY | 117797639 |
1063789428 | GREGG | SARA |   |   | 331 TILTON RD | NORTHFIELD | NJ | 082251201 |
1457314908 | NAMATH | LISA |   |   | 1377 MOTOR PKWY STE 307 | ISLANDIA | NY | 117495258 |
1235501149 | NORMAN | JEREMY |   |   | 4175 VETERANS MEMORIAL HWY | RONKONKOMA | NY | 117797639 |