NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1962724070 | BEATTIE | SALLY | F |   | 596 ROUTE 11 | TULLY | NY | 13159 |
1922286566 | CONNERS | BRIAN |   |   | 596 US ROUTE 11 | TULLY | NY | 131599410 |
1215335146 | HOIGE | TAYLOR | ANNE |   | 596 US ROUTE 11 | TULLY | NY | 131599410 |
1093999245 | HORN | REBECCA |   |   | 596 ROUTE 11 | TULLY | NY | 13159 |