PFI: R369 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph A Zito, M.D. Phone: (516) 933-6445 Fax: (516) 933-6244 Address: 20 E Marie St, Hicksville, NY 11801 County: Nassau Country: United States Single or Primary Contact: Timothy Mooney Contact Phone: (516) 933-6445 CLIA #: 33D1049393
PFI: R370 Secondary Site ID: 0000 Certification Type: WAIVER Director: Max Lazarus, D.O. Phone: (914) 665-2607 Fax: Address: 470 E Lincoln Ave, Mount Vernon, NY 10550 County: Westchester Country: United States Single or Primary Contact: Kevin Holt Contact Phone: (914) 720-8348 CLIA #: 33D2345783
PFI: R384 Secondary Site ID: 0000 Certification Type: WAIVER Director: James I Syrett, M.D. Phone: (315) 946-5640 Fax: (315) 946-5827 Address: 1527 Nye Rd, Lyons, NY 14489 County: Wayne Country: United States Single or Primary Contact: James Lee Contact Phone: (315) 946-5712 CLIA #: 33D2347141
PFI: R384 Secondary Site ID: 0003 Certification Type: WAIVER Director: James I Syrett, M.D. Phone: (315) 946-3129 Fax: Address: 1892 Penfield-Walworth Rd, Walworth, NY 14568 County: Wayne Country: United States Single or Primary Contact: James Lee Contact Phone: (315) 946-5640 CLIA #: 33D2347141
PFI: R384 Secondary Site ID: 0002 Certification Type: WAIVER Director: James I Syrett, M.D. Phone: (315) 946-3129 Fax: Address: 6654 Rte 88, Sodus, NY 14551 County: Wayne Country: United States Single or Primary Contact: James Lee Contact Phone: (315) 946-5640 CLIA #: 33D2347141
PFI: R384 Secondary Site ID: 0001 Certification Type: WAIVER Director: James I Syrett, M.D. Phone: (315) 946-3129 Fax: Address: 4491 Rte 414, Rose, NY 14542 County: Wayne Country: United States Single or Primary Contact: James Lee Contact Phone: (315) 946-5640 CLIA #: 33D2347141
Hiram Certified Home Care Co. dba Acacia Certified Home Care Co.
PFI: R385 Secondary Site ID: 0000 Certification Type: WAIVER Director: Martin A Grossman, M.D. Phone: (315) 266-0614 Fax: (315) 266-0298 Address: 2150 Bleecker St, Utica, NY 13501 County: Oneida Country: United States Single or Primary Contact: Robert Raffle Contact Phone: (315) 798-4882 CLIA #: 33D1050695
PFI: R391 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeremy T Cushman, M.D. Phone: (585) 323-1040 Fax: Address: 4657 Culver Rd, Rochester, NY 14622 County: Monroe Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2346725
PFI: R397 Secondary Site ID: 0006 Certification Type: WAIVER Director: Grant E Mitchell, M.D. Phone: (212) 420-2079 Fax: (212) 982-6990 Address: 26 Avenue A, New York, NY 10009 County: New York Country: United States Single or Primary Contact: Millicent Forson-Smith Contact Phone: (212) 420-3987 CLIA #: 33D1053652
PFI: R397 Secondary Site ID: 0007 Certification Type: WAIVER Director: Grant E Mitchell, M.D. Phone: (212) 614-2840 Fax: (212) 979-0925 Address: 109-11 Delancey St, New York, NY 10002 County: New York Country: United States Single or Primary Contact: Millicent Forson-Smith Contact Phone: (212) 420-3987 CLIA #: 33D1053652
PFI: R397 Secondary Site ID: 0008 Certification Type: WAIVER Director: Grant E Mitchell, M.D. Phone: (718) 965-7900 Fax: (718) 965-1114 Address: 25 12th St, Brooklyn, NY 11215 County: New York Country: United States Single or Primary Contact: Millicent Forson-Smith Contact Phone: (212) 420-3987 CLIA #: 33D1053652
PFI: R397 Secondary Site ID: 0015 Certification Type: WAIVER Director: Grant E Mitchell, M.D. Phone: (212) 636-4840 Fax: (212) 866-5741 Address: 132-140 West 125th St - 6th Fl, New York, NY 10027 County: New York Country: United States Single or Primary Contact: Millicent Forson-Smith Contact Phone: (212) 420-3987 CLIA #: 33D1053652
PFI: R397 Secondary Site ID: 0000 Certification Type: WAIVER Director: Grant E Mitchell, M.D. Phone: (212) 774-3210 Fax: (212) 722-6234 Address: 103 E 125th St, New York, NY 10035 County: New York Country: United States Single or Primary Contact: Millicent Forson-Smith Contact Phone: (917) 841-3027 CLIA #: 33D1053652
PFI: R414 Secondary Site ID: 0000 Certification Type: WAIVER Director: Christopher R Cammarata, D.O. Phone: (716) 664-7353 Fax: (716) 488-2297 Address: 335 East 3rd Street, Jamestown, NY 14701 County: Chautauqua Country: United States Single or Primary Contact: Brian Wilcox Contact Phone: (716) 664-7353 CLIA #: 33D1050666
PFI: R415 Secondary Site ID: 0000 Certification Type: WAIVER Director: Heidi P Cordi, M.D. Phone: (518) 686-4105 Fax: (518) 686-3044 Address: 21 First St, Hoosick Falls, NY 12090 County: Rensselaer Country: United States Single or Primary Contact: John Kervin Contact Phone: (518) 686-4105 CLIA #: 33D1050665
PFI: R417 Secondary Site ID: 0000 Certification Type: WAIVER Director: Romana Kulikova, M.D. Phone: (718) 317-5522 Fax: (718) 317-5919 Address: 260 Christopher Lane, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Adam Smith Contact Phone: (718) 317-5522 CLIA #: 33D1050619