| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1861558504 | BOHLEN | ROWYNA | 7 STUVESANT CIRCLE WEST | E SETAUKET | NY | 11733 | ||
| 1871524439 | DERVAN | JOHN | P. | 100 NICOLLS RD # T-16030 | STONY BROOK | NY | 117948160 | |
| 1578029252 | MATTIS-PABIFIO | TIFFANY | JOSEPHINE | 101 NICOLLS RD | STONY BROOK | NY | 117940001 | |
| 1043534373 | SVOBODA | SATU | M | PO BOX 1554 | STONY BROOK | NY | 117900988 |