NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1225113608
BALK
SOPHIE
J
65 HUNTER AVE
NEW ROCHELLE
NY
108012013
1710349063
ROTH
LAUREN
TANNENBAUM
1525 BLONDELL AVE STE 102
BRONX
NY
104612601
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