NPI |
Provider Name |
Address |
Type |
1376094391 | CHARLESTON MEDICAL, P.C. | 6860 AUSTIN ST 404 FOREST HILLS, NY ZIP 11375 Phone: (718) 520-8480
| Organization |
1285377291 | HEALTHWELL NP FAMILY HEALTH PC | 6860 108TH STREET SL1 FOREST HILLS, NY ZIP 11375 Phone: (718) 776-7210
| Organization |
1821729641 | PINKBRIDGE NP FAMILY HEALTH PC | 7714 113TH ST APT 5V FOREST HILLS, NY ZIP 11375 Phone: (212) 906-4406
| Organization |
1205393253 | BM NURSE PRACTITIONER IN FAMILY HEALTH PC | 6259 108TH ST APT 5H FOREST HILLS, NY ZIP 11375 Phone: (917) 972-4458
| Organization |
1134865793 | KEI ACUTE CARE NP SERVICES PC | 6712 YELLOWSTONE BLVD FOREST HILLS, NY ZIP 11375 Phone: (347) 886-1583
| Organization |
1306296751 | ELENORA ACHILDIYEVA, FNP | 10255 63RD RD FOREST HILLS, NY ZIP 11375 Phone: (347) 808-0346
| Individual |
1801221718 | MRS. LETITIA SHAMEIKA ALEXANDER, NP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (917) 548-2677
| Individual |
1629406871 | MS. DOMENICA ANGELA ANGIULI, AGNP | 11835 QUEENS BLVD STE 400 FOREST HILLS, NY ZIP 11375 Phone: (646) 722-7610
| Individual |
1972959088 | ELLA ARCHIBALD | 7714 113TH ST APT 5V FOREST HILLS, NY ZIP 11375 Phone: (516) 375-5533
| Individual |
1144724360 | MRS. NINA ARONOV, FNP | 6860 108TH ST STE SL1 FOREST HILLS, NY ZIP 11375 Phone: (718) 776-7210
| Individual |
1821416330 | MS. MARIA S ARTUSA, NP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1710428057 | ROMAN ASHUROV, FNP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1962415935 | MICHELE AVENT | 10201 66TH RD SUITE 5000 FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1871201202 | SOFYA BABABEKOVA, NP | 10525 64TH AVE FOREST HILLS, NY ZIP 11375 Phone: (718) 459-3494
| Individual |
1659838977 | ALEKSEY BABAKHANOV, FNP | 6405 YELLOWSTONE BLVD APT 101 FOREST HILLS, NY ZIP 11375 Phone: (718) 896-3376
| Individual |
1255766671 | YULIYA BABAYEVA, NP | 68-61 YELLOWSTONE BLVD. SUITE 116 FOREST HILLS, NY ZIP 11375 Phone: (718) 263-1450
| Individual |
1316313083 | MARIA BANGIEVA | 10407 METROPOLITAN AVE FOREST HILLS, NY ZIP 11375 Phone: (718) 576-4652
| Individual |
1154040491 | SANDRA I. BARACALDO | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1588120760 | SVETLANA BASINA | 10721 QUEENS BLVD STE 6 FOREST HILLS, NY ZIP 11375 Phone: (718) 261-2992
| Individual |
1114408622 | TOVA NAOMI BERNS, NP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1427757319 | MRS. ANNA BILAR, PMHNP-BC | 11835 QUEENS BLVD FOREST HILLS, NY ZIP 11375 Phone: (718) 651-7770
| Individual |
1639466279 | HALLIE J BLEAU | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1700495249 | JESSICA BOBADILLA, WHNP | 96-10 METROPOLITAN AVE FOREST HILLS, NY ZIP 11375 Phone: (718) 459-0400
| Individual |
1053177394 | ALEXIA BOUMIS | 11835 QUEENS BLVD STE 400 FOREST HILLS, NY ZIP 11375 Phone: (646) 722-7610
| Individual |
1831956457 | MRS. TEMITOPE BRANCO, NP | 11835 QUEENS BLVD STE 400 FOREST HILLS, NY ZIP 11375 Phone: (646) 722-7610
| Individual |
1003040114 | MS. MAXINE L BROOKS, CNM, NP | 11247 QUEENS BLVD SUITE 102 FOREST HILLS, NY ZIP 11375 Phone: (718) 263-2986
| Individual |
1639794233 | MS. KYUNGSOOK BU, FNP | 10814 72ND AVE FOREST HILLS, NY ZIP 11375 Phone: (718) 520-8480
| Individual |
1588203707 | MONICA ALEXANDRA BUENO, NP | 11050 71ST RD STE 1B FOREST HILLS, NY ZIP 11375 Phone: (718) 268-1458
| Individual |
1912354051 | MS. ROSITA CADALIN, NP-C | 9610 METROPOLITAN AVE FOREST HILLS, NY ZIP 11375 Phone: (718) 459-0400
| Individual |
1538792528 | MS. JESSICA CATALANO | 10816 63RD RD FOREST HILLS, NY ZIP 11375 Phone: (718) 897-5331
| Individual |
1245967868 | ERICA CHEN | 10816 63RD RD FOREST HILLS, NY ZIP 11375 Phone: (212) 988-2111
| Individual |
1013780550 | MAY JEAN CHEUNG | 6911 YELLOWSTONE BLVD FOREST HILLS, NY ZIP 11375 Phone: (646) 379-5556
| Individual |
1528571171 | LIANA CHIEW, NP | 6707 EXETER ST FOREST HILLS, NY ZIP 11375 Phone: (917) 751-7676
| Individual |
1831736552 | MRS. LALIA CLARKE | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-1595
| Individual |
1306522818 | MORGAN GAYLE COLLETTA | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1699493270 | CACIANA COMPERE, WHNP, RN, EFM-C | 10816 63RD RD FOREST HILLS, NY ZIP 11375 Phone: (212) 988-2111
| Individual |
1730551540 | MS. MARYANNE COX, AGPCNP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-1996
| Individual |
1992561807 | KERRIN ROSE CROPANO, NP | 10740 QUEENS BLVD STE 204 FOREST HILLS, NY ZIP 11375 Phone: (718) 459-0900
| Individual |
1669184347 | EMILY KATE DECUYPER | 7020 AUSTIN ST FOREST HILLS, NY ZIP 11375 Phone: (718) 268-4767
| Individual |
1811758634 | MRS. REBECCA DELIAT-AYENI, NP | 11835 QUEENS BLVD STE 400 FOREST HILLS, NY ZIP 11375 Phone: (646) 722-7610
| Individual |
1588139984 | MISS OLENA DENYSOVA, FNP | 11129 QUEENS BLVD # 1 FOREST HILLS, NY ZIP 11375 Phone: (164) 672-5958
| Individual |
1285249813 | KALSANG DICKEY, NP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4200
| Individual |
1093373490 | MISS JELISA KIMBERLY DOPWELL, NP | 7136 110TH ST SPC 1 FOREST HILLS, NY ZIP 11375 Phone: (212) 757-8686
| Individual |
1073395968 | MR. FRANTZ DORESTANT, CWOCN AGPCNP-BC | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (646) 240-9067
| Individual |
1043924566 | CHRISTIN A. DUMBA, WHNP-BC | 10816 63RD RD FOREST HILLS, NY ZIP 11375 Phone: (718) 814-6605
| Individual |
1366130080 | YELENA DZHURAYEVA | 8832 69TH RD FOREST HILLS, NY ZIP 11375 Phone: (917) 583-1171
| Individual |
1093596785 | DIANNE AGUIRRE ESPINOSA | 104-20 68TH DR. APT AA03 FOREST HILLS, NY ZIP 11375 Phone: (347) 445-1190
| Individual |
1578154654 | KAYLEY PATRICIA FERRAN, AGNP | 7025 YELLOWSTONE BLVD APT 3Q FOREST HILLS, NY ZIP 11375 Phone: (718) 749-4043
| Individual |
1942800149 | TSARINA GARCIA | 10816 63RD RD FOREST HILLS, NY ZIP 11375 Phone: (718) 897-5331
| Individual |
1942819636 | RUBY JUDITH MALOCO GARZON, NP | 6860 AUSTIN ST STE 303 FOREST HILLS, NY ZIP 11375 Phone: (718) 459-0700
| Individual |
1356962302 | DR. DANIELLE GELI, AGACDNP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1104171180 | EILEEN FRANCES GILLESPIE, NP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-1996
| Individual |
1578880597 | MS. EVELYN ELAINE HAUGHTON, FNP | 6735 112TH ST FOREST HILLS, NY ZIP 11375 Phone: (718) 263-0740
| Individual |
1801324835 | MS. MARIS HUFFMAN, WHNP-BC | 10816 63RD RD FOREST HILLS, NY ZIP 11375 Phone: (718) 897-5331
| Individual |
1801511704 | MOJDEH HUSSAINI | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1972678258 | MS. CAROL ANN HUTCHINSON, ANP | 102 01 66TH ROAD PST FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4316
| Individual |
1801278106 | YELENA ILYASOVA, NP | 10245 62ND RD APT 7B FOREST HILLS, NY ZIP 11375 Phone: (718) 775-7337
| Individual |
1649986068 | INESSA INOYATOVA | 11620 QUEENS BLVD FOREST HILLS, NY ZIP 11375 Phone: (718) 401-1510
| Individual |
1558678177 | MS. JULIE E. ISGRO, ANP-C | 10201 66TH RD NORTH SHORE LIJ FOREST HILLS HOSPITAL FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4003
| Individual |
1942375258 | MRS. JAMINA JOHN, ACNP | 10201 66TH ROAD PST FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4316
| Individual |
1427718980 | MRS. WHITNEY ELIZABETH JOSEPH, NP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1316646052 | ELINA KAZIYEVA | 6514 108TH ST APT 4B FOREST HILLS, NY ZIP 11375 Phone: (718) 536-9798
| Individual |
1043263734 | MS. DONNA L KEARNS, NP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (212) 830-1815
| Individual |
1174016646 | LISA KELLER | 6838 YELLOWSTONE BLVD APT B43 FOREST HILLS, NY ZIP 11375 Phone: (516) 375-2942
| Individual |
1750683868 | MS. SAMANTHA KATHERINE KESTEN, WHNP-BC | 6930 AUSTIN ST FOREST HILLS, NY ZIP 11375 Phone: (718) 793-1943
| Individual |
1366961526 | STEPHANIE M KHAN | 11050 QUEENS BLVD FOREST HILLS, NY ZIP 11375 Phone: (718) 309-2827
| Individual |
1255017042 | DEANNA KHAVASOVA | 71-20 110TH ST FOREST HILLS, NY ZIP 11375 Phone: (718) 793-3200
| Individual |
1912455890 | EUNYOUNG KIM | 9610 METROPOLITAN AVE FOREST HILLS, NY ZIP 11375 Phone: (718) 459-0400
| Individual |
1316535123 | ELIZABETH ANNE KOWALSKI, WHNP-BC | 109-33 71ST ROAD SUITE 2G FOREST HILLS, NY ZIP 11375 Phone: (718) 263-1963
| Individual |
1679359186 | ELONNA KRAVETS, FNP | 6960 108TH ST FOREST HILLS, NY ZIP 11375 Phone: (718) 275-8200
| Individual |
1497533954 | SUZETTE KURA | 11835 QUEENS BLVD STE 400 FOREST HILLS, NY ZIP 11375 Phone: (646) 722-7610
| Individual |
1841877883 | JESSICA LAGUERRE | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-8000
| Individual |
1770812257 | COURTNEY MARIE LAKE, NP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1376981977 | MS. DINA LEMKOVA-SERYY, NP | 10124 QUEENS BLVD STE A FOREST HILLS, NY ZIP 11375 Phone: (718) 261-8881
| Individual |
1386155042 | VERA LEVTER, NP | 11115 QUEENS BLVD STE 2 FOREST HILLS, NY ZIP 11375 Phone: (718) 520-2300
| Individual |
1275968364 | MRS. ANNA MARZENA LISOWICZ, NP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1942578968 | CHRISTOPHER LJUCOVIC, FNP | 11620 QUEENS BLVD FOREST HILLS, NY ZIP 11375 Phone: (718) 401-1510
| Individual |
1366139412 | MRS. JUDY LOKENAUTH-PARANGAN, FNP-C | 7136 110TH ST FOREST HILLS, NY ZIP 11375 Phone: (347) 385-7638
| Individual |
1740393842 | DR. AMY X MA, DNP | 6936 HARROW ST FOREST HILLS, NY ZIP 11375 Phone: (718) 275-6197
| Individual |
1023710886 | DIKSHA MADAAN | 10201 66TH AVE FOREST HILLS, NY ZIP 11375 Phone: (516) 234-8471
| Individual |
1063877082 | JONATHAN MAKSUMOV, FNP | 6405 YELLOWSTONE BLVD APT 101 FOREST HILLS, NY ZIP 11375 Phone: (718) 896-3376
| Individual |
1154095677 | VYACHESLAV MAMANOV, NP | 10218 64TH AVE FOREST HILLS, NY ZIP 11375 Phone: (646) 479-9710
| Individual |
1902505712 | DONNA MAVASHEVA | 7009 AUSTIN ST STE 203 FOREST HILLS, NY ZIP 11375 Phone: (347) 322-2057
| Individual |
1275993453 | GINA MIKHAYLOV | 10420 QUEENS BLVD STE 1DE FOREST HILLS, NY ZIP 11375 Phone: (718) 806-1002
| Individual |
1760059943 | MRS. GRACE MARY MILLER, FNP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1407462492 | ALEXANDRA MOENCH, NP | 7064 YELLOWSTONE BLVD FOREST HILLS, NY ZIP 11375 Phone: (212) 283-3000
| Individual |
1043804255 | JI SOO MOON, AG-ACNP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1083164388 | MRS. CHRISTINE MARGARET MORONTA, NP | 108-49 63 AVE APT 2A FOREST HILLS, NY ZIP 11375 Phone: (347) 865-2803
| Individual |
1225339013 | MRS. ELEONORA MOSHEYEVA, N.P. | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1588145700 | MICHAELA MUNROE, NP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1003450487 | ARKADIY ABRAHAM MURDAKHAYEV, NP | 6625 103RD ST APT 6G FOREST HILLS, NY ZIP 11375 Phone: (646) 387-5808
| Individual |
1649045352 | MR. MOSHE MUSHEYEV, FNP-BC | 10524 63RD DR APT 2P FOREST HILLS, NY ZIP 11375 Phone: (347) 283-6191
| Individual |
1033717764 | KERRIN M NELSON, NP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1083086961 | MR. ANDREW NEPLOCH, NP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1467110924 | JARED NEWMAN, AGNP-C | 11020 71ST RD APT 819 FOREST HILLS, NY ZIP 11375 Phone: (631) 235-2772
| Individual |
1174921688 | IRINA NIAZOVA | 9610 METROPOLITAN AVE FOREST HILLS, NY ZIP 11375 Phone: (718) 459-0400
| Individual |
1700161569 | SARAH Y NOWLIN, NP | 7136 110TH ST STE SP1 FOREST HILLS, NY ZIP 11375 Phone: (718) 268-4464
| Individual |
1134414360 | MRS. SUSAN NUTAKOR-DOH, FNP | 7502 AUSTIN ST FOREST HILLS, NY ZIP 11375 Phone: (718) 268-0719
| Individual |
1023275575 | MRS. OMOLARA A OLANIYI, PHD, FNP, RN | 11156 76TH DR FOREST HILLS, NY ZIP 11375 Phone: (347) 356-4434
| Individual |
1306215678 | JENNIFER ONEILL, N.P. | 9921 67TH RD APT 3J FOREST HILLS, NY ZIP 11375 Phone: (646) 322-1165
| Individual |
1033492327 | MS. ADEBOLA OSEWA, RN, FNP-BC | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4316
| Individual |
1376114215 | SHINEY PAUL, NP | 10201 66TH RD DEPT OF FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1932276920 | MRS. CHANTAL PERCY-SEIDE, NP | 10261 66TH ROAD NORTH SHORE HOSPITAL FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4316
| Individual |
1780985861 | MARYA PIER, NP-C | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4207
| Individual |
1508532581 | KHEVSI PLISHTIYEVA, NP | 10255 63RD RD FOREST HILLS, NY ZIP 11375 Phone: (347) 201-4664
| Individual |
1699177600 | NATALYA POZINA | 11247 QUEENS BLVD STE 206 FOREST HILLS, NY ZIP 11375 Phone: (718) 544-4200
| Individual |
1285925701 | SARAH HAZAN PRAGER, ANP-BC | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1841994183 | MIRA RAFAILOV | 11247 QUEENS BLVD STE 206 FOREST HILLS, NY ZIP 11375 Phone: (800) 200-8196
| Individual |
1932827862 | MOHIBA RAFIQI | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1356903496 | ROSS MATTHEW RIEMAN | 102-01 66TH RD EMERGENCY DEPARTMENT FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4200
| Individual |
1609414556 | MS. TANIANA E RODRIGUEZ, FNP | 10816 63RD RD FOREST HILLS, NY ZIP 11375 Phone: (718) 897-5331
| Individual |
1427650092 | MS. VERONICA NICOLE ROYE, DNP | 11835 QUEENS BLVD STE 400 FOREST HILLS, NY ZIP 11375 Phone: (646) 722-7610
| Individual |
1942974316 | AVRAKHAM RUBINOV, NP | 6836 108TH ST APT B58 FOREST HILLS, NY ZIP 11375 Phone: (718) 350-6381
| Individual |
1154496453 | MRS. DIANE LISA SCHWARTZ, ANP | 10201 66TH RD PST FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4316
| Individual |
1487262887 | ARIELLE ASHLEY SCHWIMMER | 11247 QUEENS BLVD STE 206 FOREST HILLS, NY ZIP 11375 Phone: (800) 200-8196
| Individual |
1861850513 | MRS. BELLA SHALAMOVA, FNP | 6416 110TH ST FL 1 FOREST HILLS, NY ZIP 11375 Phone: (646) 270-2162
| Individual |
1215634852 | HANA SHIMONOVA | 6837 YELLOWSTONE BLVD APT D57 FOREST HILLS, NY ZIP 11375 Phone: (347) 822-0018
| Individual |
1225493679 | MS. SHANNON SITCHENKO, NP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1760005318 | MARIYA SIYANOVA | 10719 70TH AVE APT 110 FOREST HILLS, NY ZIP 11375 Phone: (917) 476-8112
| Individual |
1376146761 | ANDREA HUNTER SMALL | 11620 QUEENS BLVD FOREST HILLS, NY ZIP 11375 Phone: (718) 401-1510
| Individual |
1851456172 | MRS. MARY ANN SNOW, NURSE PRACTITIONER | 10201 66 RAOD NORTH SHORE LONG ISLAND JEWISH HEALTH SYSTEM FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4316
| Individual |
1134747769 | MARGARITE SOH-CHOE | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1487048450 | ANCA MARILENA STUPARU, NP | 10524 67TH AVE FOREST HILLS, NY ZIP 11375 Phone: (347) 418-1812
| Individual |
1194109165 | TRACY HOONG YEE TAN-LIBREROS, NP | 9610 METROPOLITAN AVE FOREST HILLS, NY ZIP 11375 Phone: (718) 459-0400
| Individual |
1578157319 | MS. ABIGAIL THOMAS, NP | 11835 QUEENS BLVD STE 400 FOREST HILLS, NY ZIP 11375 Phone: (646) 722-7610
| Individual |
1346848256 | REVALYN THOMAS | 10814 72ND AVE FOREST HILLS, NY ZIP 11375 Phone: (718) 520-8480
| Individual |
1831409861 | MS. ROSE C. UBANWA, NP | 11835 QUEENS BLVD FL 6 FOREST HILLS, NY ZIP 11375 Phone: (718) 651-7770
| Individual |
1881075828 | BETSY VARGHESE | 9610 METROPOLITAN AVE FOREST HILLS, NY ZIP 11375 Phone: (718) 459-0400
| Individual |
1568530228 | MRS. JANCY J VARUGHESE, ANP | 10201 66TH RD PST FOREST HILLS, NY ZIP 11875 Phone: (718) 830-4177
| Individual |
1629743240 | MRS. CRISTEN DAWN VELTRE, AGPCNP-BC | 6860 AUSTIN ST STE 400 FOREST HILLS, NY ZIP 11375 Phone: (929) 493-5928
| Individual |
1720625551 | MS. SHANA KATHLEEN WHITE-MCGUIRE, NP | 11050 71ST RD STE 1B FOREST HILLS, NY ZIP 11375 Phone: (718) 268-1458
| Individual |
1700551355 | RAYMOND WU, AGACNP | 10201 66TH RD FOREST HILLS, NY ZIP 11375 Phone: (718) 830-4000
| Individual |
1689115065 | RAFAEL YAAKOBOV, FNP | 10816 72ND AVE STE 2 FOREST HILLS, NY ZIP 11375 Phone: (347) 836-3045
| Individual |
1245707082 | MR. SHADY ZEIDAN, NP | 96-10 METROPOLITAN AVE FOREST HILLS, NY ZIP 11375 Phone: (718) 459-0400
| Individual |
1194457002 | MR. PETER DANIEL ZELEM | 11314 72ND RD APT 4G FOREST HILLS, NY ZIP 11375 Phone: (845) 826-3252
| Individual |