| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1912930090 | HANCOCK | TARA | M | 68 S SERVICE RD | MELVILLE | NY | 117472358 | |
| 1770543662 | PINILLA | DREW | STEWART | 68 S SERVICE RD | MELVILLE | NY | 117472354 | |
| 1215021282 | VOIGT | CLAYTON | G | 68 S SERVICE RD | FAIRFAX | VA | 220332921 |