New York State Department of Health, Wadsworth Center
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Carthage Community Health Center
PFI: R331 Secondary Site ID: 0001 Certification Type: WAIVER Director: Joseph C Gianfagna, M.D. Phone: (315) 493-4187 Fax: (315) 493-4188 Address: 117 N Mechanic Street, Carthage, NY 13619 County: Jefferson Country: United States Single or Primary Contact: Maria Doldo Contact Phone: (315) 519-5517 CLIA #: 33D1047529
South Brooklyn Medical Administrative Services Inc
PFI: R335 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph C Bottino, M.D. Phone: (718) 788-2594 Fax: (347) 335-0539 Address: 685 Third Avenue, Brooklyn, NY 11232 County: Kings Country: United States Single or Primary Contact: Alexis Bosco Contact Phone: (718) 788-2594 CLIA #: 33D1046907
PFI: R336 Secondary Site ID: 0000 Certification Type: WAIVER Director: Todd D. Duthaler, D.O. Phone: (518) 899-2100 Fax: (518) 899-2010 Address: 2449 Rte 9, Malta, NY 12020 County: Saratoga Country: United States Single or Primary Contact: Peter R Lennon Contact Phone: (518) 899-2100 CLIA #: 33D1046991
PFI: R336 Secondary Site ID: 0001 Certification Type: WAIVER Director: Todd D. Duthaler, D.O. Phone: (518) 899-2100 Fax: (518) 899-2010 Address: 266 County Rte 76, Stillwater, NY 12170 County: Saratoga Country: United States Single or Primary Contact: Peter R Lennon Contact Phone: (518) 899-2100 CLIA #: 33D1046991
PFI: R343 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark A Papish, M.D. Phone: (914) 879-0668 Fax: Address: 25 Home St, Hawthorne, NY 10532 County: Westchester Country: United States Single or Primary Contact: Ernie Carpentieri Contact Phone: (914) 879-0668 CLIA #: 33D2345782
PFI: R359 Secondary Site ID: 0000 Certification Type: WAIVER Director: John S Duffy, M.D. Phone: (315) 322-8947 Fax: (315) 322-4048 Address: 2263 State Highway 310, Madrid, NY 13660 County: St. Lawrence Country: United States Single or Primary Contact: Sheila Perrigo Contact Phone: (315) 713-5025 CLIA #: 33D1049040
PFI: R360 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert G McHugh, M.D. Phone: (518) 785-6033 Fax: (518) 785-6528 Address: 2772 Troy-Schenectady Road, Niskayuna, NY 12309 County: Schenectady Country: United States Single or Primary Contact: Henery Tom Contact Phone: (518) 785-6033 CLIA #: 33D1049264
PFI: R361 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lawrence E Eisenstein, M.D. Phone: (631) 465-5101 Fax: Address: 320 S Service Rd, Melville, NY 11747 County: Suffolk Country: United States Single or Primary Contact: Lawrence Eisenstein Contact Phone: (631) 465-5101 CLIA #: 33D2348371
PFI: R362 Secondary Site ID: 0000 Certification Type: WAIVER Director: Henry P Cunningham,RPh Phone: (516) 483-1903 Fax: (516) 481-4905 Address: 210 S Franklin St, Hempstead, NY 11550 County: Nassau Country: United States Single or Primary Contact: Arquita Cunningham Contact Phone: (516) 483-1903 CLIA #: 33D2344985
PFI: R363 Secondary Site ID: 0000 Certification Type: WAIVER Director: Leonard B Stein, M.D. Phone: (516) 794-1868 Fax: (516) 794-1627 Address: 106 Charles Lindbergh - Suite 101, Uniondale, NY 11553 County: Nassau Country: United States Single or Primary Contact: Megan Misilewich Contact Phone: (516) 794-1868 CLIA #: 33D1049916
PFI: R367 Secondary Site ID: 0006 Certification Type: WAIVER Director: Eugene Lambert, M.D. Phone: (212) 348-5650 Fax: (212) 987-3023 Address: 2191 Third Ave, New York, NY 10035 County: New York Country: United States Single or Primary Contact: Marelis Subera Contact Phone: (718) 260-2917 CLIA #: 33D0998375
PFI: R367 Secondary Site ID: 0007 Certification Type: WAIVER Director: Eugene Lambert, M.D. Phone: (212) 543-2782 Fax: (212) 543-2219 Address: 2406 Amsterdam Avenue, New York, NY 10033 County: New York Country: United States Single or Primary Contact: Marelis Subera Contact Phone: (718) 260-2917 CLIA #: 33D0998375
PFI: R367 Secondary Site ID: 0001 Certification Type: WAIVER Director: Eugene Lambert, M.D. Phone: (212) 865-2010 Fax: (212) 864-0267 Address: 119 W 124th Street, New York, NY 10027 County: New York Country: United States Single or Primary Contact: Marelis Subera Contact Phone: (718) 260-2917 CLIA #: 33D0998375