NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1376873265 |   |   |   | ICL MEDICAID SERVICE COORDINATION (MSC) | 6209 16TH AVE | BROOKLYN | NY | 112042702 |
1649733320 |   |   |   | HEALTHCARECHOICES NY, INC | 6209 16TH AVE | BROOKLYN | NY | 112042702 |
1770521270 |   |   |   | ICL HEALTHCARE CHOICES INC | 6209 16TH AVE | BROOKLYN | NY | 112042702 |
1265946404 | AJENISHE | NICOLE | DANIELLE |   | 1054 STAFFORD RD | VALLEY STREAM | NY | 115801822 |
1689612566 | AYERS | BARBARA | H |   | 232 ENCLAVE BLVD | LAKEWOOD | NJ | 08701 |
1891341624 | BELL | GILBERT |   |   | 6209 16TH AVE | BROOKLYN | NY | 112042702 |
1790724425 | FEFERMAN | ROBERT | M |   | 170 W END AVE | NEW YORK | NY | 100235401 |
1669798583 | JETER | ERTHA |   |   | 540 E 22ND ST APT 1B | BROOKLYN | NY | 112267265 |
1720033012 | LUBIN | FRANTZ | HERNOULD |   | 6 WESTWOOD DR | HUNTINGTON | NY | 117436621 |
1912951641 | MROUEH | LAMIA | MAHHOUD |   | 526 68TH ST | BROOKLYN | NY | 112206004 |
1508532581 | PLISHTIYEVA | KHEVSI |   |   | 8103 TRYON PL | JAMAICA | NY | 114321438 |
1962698530 | SAINTELUS | KETIE | D |   | 818 E 22ND ST | BROOKLYN | NY | 112102144 |
1134442528 | SHKLYAREVSKY | LUDMILA |   |   | 6209 16TH AVE | BROOKLYN | NY | 112042702 |
1104219583 | STATMAN | NINA |   |   | 6209 16TH AVE | BROOKLYN | NY | 112042702 |
1518402890 | VAZQUEZ | JOSE | MANUEL |   | 6209 16TH AVE | BROOKLYN | NY | 112042702 |