| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1407372527 | HAVLIK | NICOLE | MEGAN | 16 MAYBROOK RD STE A | CAMPBELL HALL | NY | 109162741 | |
| 1346846722 | HETZ | GENE | 16 MAYBROOK RD STE A | CAMPBELL HALL | NY | 109162741 | ||
| 1639849185 | JACOBSEN | ROBERT | 16 MAYBROOK RD STE L | CAMPBELL HALL | NY | 109162741 | ||
| 1104474774 | PANETTA | CLAUDIA | 16 MAYBROOK RD | CAMPBELL HALL | NY | 109162743 |