| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1255389250 | BRANTUK | KARLA | 951 ROANOKE AVE | RIVERHEAD | NY | 119012724 | ||
| 1902894538 | EASOW | BABU | 951 ROANOKE AVE | RIVERHEAD | NY | 119012724 | ||
| 1396890042 | KATZ | STANLEY | 951 ROANOKE AVE | RIVERHEAD | NY | 119012724 | ||
| 1669462370 | SUNDBERG | MICHELINA | 951 ROANOKE AVE | RIVERHEAD | NY | 119012724 | ||
| 1669460226 | VALENTINO | PATRICK | 951 ROANOKE AVE | RIVERHEAD | NY | 119012724 |