PFI: H571 Secondary Site ID: 0000 Certification Type: WAIVER Director: Eric S Berger, M.D. Phone: (718) 429-6630 Fax: (718) 429-6584 Address: 61-33 Woodhaven Blvd, Rego Park, NY 11374 County: Queens Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2344519
PFI: H574 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paolo T Coppola, M.D. Phone: (315) 387-4335 Fax: (631) 846-8138 Address: 1000 Main St - 1st Fl South Suite, Port Jefferson, NY 11777 County: Suffolk Country: United States Single or Primary Contact: Tracey Wallace Contact Phone: (631) 696-4357 CLIA #: 33D2341406
PFI: H577 Secondary Site ID: 0000 Certification Type: WAIVER Director: Abdalla I Adam, M.D. Phone: (718) 251-1400 Fax: (718) 251-1401 Address: 1900B Ralph Ave, Brooklyn, NY 11234 County: Kings Country: United States Single or Primary Contact: Bobby Borukhov Contact Phone: (718) 930-8565 CLIA #: 33D2341409
Health Services by Slazyk Adult Health NP and Gurtoo RPN PLLC
PFI: H578 Secondary Site ID: 0000 Certification Type: WAIVER Director: Andrea L Slazyk, N.P. Phone: (716) 906-9480 Fax: Address: 10 Sheridan Dr, Tonawanda, NY 14150 County: Erie Country: United States Single or Primary Contact: Krista Gurtoo Contact Phone: (716) 906-9480 CLIA #: 33D2341594
PFI: H582 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zia U Khan, M.D. Phone: (718) 689-1313 Fax: (866) 241-6159 Address: 4105 Ave V, Brooklyn, NY 11234 County: Kings Country: United States Single or Primary Contact: Hawa Jalloh Contact Phone: (718) 689-1313 CLIA #: 33D2341410
PFI: H585 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jose A Goris, M.D. Phone: (212) 923-5733 Fax: (212) 923-5748 Address: 4180 Broadway, New York, NY 10033 County: New York Country: United States Single or Primary Contact: Yolanda Mendez Contact Phone: (212) 923-5733 CLIA #: 33D2348713
PFI: H586 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paul Salzberg, M.D. Phone: (845) 252-3336 Fax: Address: 6509 State Rte 97, Narrowsburg, NY 12764 County: Sullivan Country: United States Single or Primary Contact: Joseph Velilla Contact Phone: (845) 252-3336 CLIA #: 33D2348714
PFI: H587 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paige M Reinfeld, D.O. Phone: (845) 297-4194 Fax: (845) 297-4560 Address: 88 Old Hopewell Rd, Wappingers Falls, NY 12590 County: Dutchess Country: United States Single or Primary Contact: Thomas Gallman Contact Phone: (845) 418-9645 CLIA #: 33D2348715
PFI: H588 Secondary Site ID: 0000 Certification Type: WAIVER Director: Andrew L Call, M.D. Phone: (315) 815-1430 Fax: Address: 3045 John Trush Jr Blvd - Ste 2, Cazenovia, NY 13035 County: Madison Country: United States Single or Primary Contact: Danielle Hewitt Contact Phone: (315) 824-7083 CLIA #: 33D2350678
PFI: H590 Secondary Site ID: 0000 Certification Type: WAIVER Director: Craig E Todd, M.D. Phone: (518) 661-5611 Fax: Address: 28 N School St, Mayfield, NY 12117 County: Fulton Country: United States Single or Primary Contact: Tasha Yudin Contact Phone: (518) 661-5611 CLIA #: 33D2352676
PFI: H592 Secondary Site ID: 0000 Certification Type: WAIVER Director: Elliot Heller, M.D. Phone: (212) 661-2563 Fax: (212) 308-0272 Address: 150 E 61st St, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Jackie Carlo Contact Phone: (718) 477-2020 CLIA #: 33D2350681
PFI: H593 Secondary Site ID: 0000 Certification Type: WAIVER Director: Diana Dreyer, M.D. Phone: (718) 336-8855 Fax: (718) 336-6479 Address: 490A Tenth Ave, New York, NY 10018 County: New York Country: United States Single or Primary Contact: Nino Lordkipanidze Contact Phone: (718) 336-8855 CLIA #: 33D2351932