| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1609543255 | GUSTAFSON | TYLER | JOSEPH | 390 EAST FAIRMOUNT AVE. | LAKEWOOD | NY | 14750 | |
| 1053717165 | HEISE | STEPHANIE | 390 EAST FAIRMOUNT | LAKEWOOD | NY | 14750 | ||
| 1699163147 | RICHARDS | CRAIG | PO BOX 500 | ELLICOTTVILLE | NY | 147310500 |