New York State Department of Health, Wadsworth Center
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Ridgeway Family Medicine
PFI: D295 Secondary Site ID: 0005 Certification Type: PPMP Director: Joseph Hatem, M.D. Phone: (585) 922-2440 Fax: (585) 663-3293 Address: 2350 Ridgeway Ave - Suite A, Rochester, NY 14626 County: Monroe Country: United States Single or Primary Contact: Gretchen Smith Contact Phone: (585) 766-5134 CLIA #: 33D2213348
PFI: D296 Secondary Site ID: 0000 Certification Type: WAIVER Director: Chandandeep S. Nagi, M.D. Phone: (212) 369-5566 Fax: Address: 606 W 57th St, New York, NY 10019 County: Kings Country: United States Single or Primary Contact: Valentine Zusman Contact Phone: (917) 407-5719 CLIA #: 33D2219190
PFI: D298 Secondary Site ID: 0000 Certification Type: WAIVER Director: David A Greenwald, M.D. Phone: (914) 677-0200 Fax: Address: 230 W 74th St, New York, NY 10023 County: New York Country: United States Single or Primary Contact: Orit Dougal Contact Phone: (914) 677-0200 CLIA #: 33D2214907
PFI: D299 Secondary Site ID: 0000 Certification Type: WAIVER Director: Richard G Etra, M.D. Phone: (516) 626-7668 Fax: (516) 626-8943 Address: 2044 County Rd 7, Copake, NY 12516 County: Columbia Country: United States Single or Primary Contact: Michael Etra Contact Phone: (917) 363-9787 CLIA #: 33D2213351
Freeport Medical Supply Inc dba Xtra Care Pharmacy
PFI: D304 Secondary Site ID: 0000 Certification Type: WAIVER Director: Chester H Fox, M.D. Phone: (516) 208-7432 Fax: (516) 208-8096 Address: 75 S Main St, Freeport, NY 11520 County: Nassau Country: United States Single or Primary Contact: Chuck Madu Contact Phone: (516) 208-7809 CLIA #: 33D2213360
PFI: D314 Secondary Site ID: 0000 Certification Type: WAIVER Director: Allyson A Haymes, M.D. Phone: (336) 740-2277 Fax: Address: 1441 Broadway, 6th Flr, New York, NY 10018 County: New York Country: United States Single or Primary Contact: Christine Hamilton Contact Phone: (336) 740-2277 CLIA #: 33D2213362
PFI: D325 Secondary Site ID: 0000 Certification Type: WAIVER Director: Fiorina E Kyritsi, M.D. Phone: (347) 545-2221 Fax: Address: 745 7th Ave - 21st Fl, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Sandra Oxley Contact Phone: (347) 545-2221 CLIA #: 33D2214366
PFI: D326 Secondary Site ID: 0000 Certification Type: PPMP Director: Tylis Y. Chang, M.D. Phone: (516) 472-5700 Fax: (516) 472-5703 Address: 600 Northern Blvd - Suite 212, Great Neck, NY 11021 County: Nassau Country: United States Single or Primary Contact: Jasnith Scott Contact Phone: (516) 562-3909 CLIA #: 33D2214369
PFI: D336 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (718) 897-0804 Fax: Address: 9511 63rd Dr, Rego Park, NY 60015 County: Queens Country: United States Single or Primary Contact: Joan Petrowski Contact Phone: (847) 527-4274 CLIA #: 33D2213497
PFI: D337 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 687-8641 Fax: (212) 687-8645 Address: 530 5th Ave, New York, NY 10036 County: New York Country: United States Single or Primary Contact: Aurora Linang Contact Phone: (847) 527-4296 CLIA #: 33D2213499
PFI: D338 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (917) 709-5115 Fax: (646) 968-4690 Address: 526 W 30th St, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Aurora Linang Contact Phone: (847) 527-4296 CLIA #: 33D2213500
PFI: D343 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (718) 946-6490 Fax: (718) 266-2074 Address: 2532 86th St - Suite 54, Brooklyn, NY 11214 County: Kings Country: United States Single or Primary Contact: Joan Petrowski Contact Phone: (847) 527-4274 CLIA #: 33D2213503