NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1215952072 |   |   |   | PORT JEFF MEDICAL CARE, PC | 410 HALLOCK AVE | PORT JEFFERSON STATION | NY | 117761232 |
1912369935 | CARNEY | DEBORAH |   |   | 410 HALLOCK AVE | PORT JEFFERSON STATION | NY | 117761232 |
1306325477 | GOMEZ PEREIRA | ANDREA |   |   | 655 BELLE TERRE RD APT 39 | PORT JEFFERSON | NY | 117772410 |
1306816129 | MORMANDO | ROBERT |   |   | 410 HALLOCK AVE | PORT JEFFERSON STATION | NY | 117761232 |
1326388695 | SMITH | JOHANNA | M |   | 2800 MARCUS AVE | NEW HYDE PARK | NY | 110421113 |