| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1710606918 | BLACK-JOHNSON | JOLUNDA | | | 449 ROUTE 146 STE 101 | HALFMOON | NY | 120653239 |
| 1134894488 | BORTNICK | AMIE | | | 449 ROUTE 146 STE 101 | HALFMOON | NY | 120653239 |
| 1447419437 | DARGUSH | MAEVE | HARKINS | | 449 ROUTE 146 STE 101 | HALFMOON | NY | 120653239 |
| 1306564471 | FAFARD | JENNIFER | KRISTI | | 449 ROUTE 146 STE 101 | HALFMOON | NY | 120653239 |
| 1992364103 | GOODFELLOW | ERIN | ANN | | 449 ROUTE 146 STE 101 | HALFMOON | NY | 120653239 |
| 1962639427 | RAVAL | MIHIR | PRADIPKUMAR | | 449 ROUTE 146 STE 101 | HALFMOON | NY | 120653239 |
| 1003171778 | RAVILLA | RAHUL | | | 449 ROUTE 146 STE 101 | HALFMOON | NY | 120653239 |
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