NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1538790456 | AJAEB | AMANDA | ROSE |   | 628 MARY ST | UTICA | NY | 135012419 |
1851046916 | BALCH | SAVANNAH |   |   | 628 MARY ST | UTICA | NY | 135012419 |
1114390952 | COMSTOCK | RENEE |   |   | 628 MARY ST | UTICA | NY | 135012419 |
1912370651 | EDDY | CHRISTINE |   |   | 628 MARY ST | UTICA | NY | 135012419 |
1275810012 | ODOM | PAULA | RENEE |   | 628 MARY ST | UTICA | NY | 135012419 |