NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1831663202 |   |   |   | SKYLINE DENTAL PARTNERS PLLC | 2348 RALPH AVE | BROOKLYN | NY | 112345515 |
1073676144 | HIRSCH | JACK |   |   | 2348 RALPH AVE | BROOKLYN | NY | 11234 |
1942839725 | MANLUCU | SHANNEN MARIE | SANDAL |   | 150 55TH ST | BROOKLYN | NY | 112202508 |
1477182103 | PAIK | SUNJOO |   |   | 66 HALINA LN | BUTLER | NJ | 074051557 |