New York State Department of Health, Wadsworth Center
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Northern FamilyCare Laboratory
PFI: F707 Secondary Site ID: 0000 Certification Type: PPMP Director: Sue A Stucker, N.P. Phone: (315) 668-3910 Fax: (315) 668-1940 Address: 4 Gertrude Drive, Central Square, NY 13036 County: Onondaga Country: United States Single or Primary Contact: Christine Monroe Contact Phone: (315) 668-3908 CLIA #: 33D2276652
East Side Physicans of NYC PLLC dba MiDoctor Primary Care
PFI: F708 Secondary Site ID: 0000 Certification Type: WAIVER Director: Vino K Palli, M.D. Phone: (646) 609-1012 Fax: (212) 688-1243 Address: 420 E 51st St - Office A, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Shinthia Hossain Contact Phone: (631) 355-4586 CLIA #: 33D2276653
Personal Touch Medical of Throgs Neck Rehab + Physical Med Mgmnt Svcs
PFI: F709 Secondary Site ID: 0000 Certification Type: WAIVER Director: Stanton K. Collins, M.D. Phone: (646) 684-3040 Fax: (646) 478-7869 Address: 4446 Broadway, New York, NY 10040 County: New York Country: United States Single or Primary Contact: Marisol Aponte Contact Phone: (917) 831-0246 CLIA #: 33D2281805
Related Construction - Onsite Clinic At Riverwalk 9
PFI: F711 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian W Shinkle, D.O. Phone: (347) 548-8583 Fax: (856) 324-9095 Address: 460 Main Street, New York, NY 10024 County: New York Country: United States Single or Primary Contact: Toledo Ayers Contact Phone: (856) 394-2358 CLIA #: 33D2276675
PFI: F714 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Faulk, M.D. Phone: (716) 761-6700 Fax: (716) 761-6701 Address: 122 Park Street, Sherman, NY 14781 County: Chautauqua Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2277116
PFI: F716 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert Wicelinski, D.O. Phone: (585) 968-3138 Fax: Address: 8854 County Road 40, West Clarksville, NY 14786 County: Allegany Country: United States Single or Primary Contact: Gordon Maker Contact Phone: (814) 320-1727 CLIA #: 33D2276679
PFI: F717 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 366-2577 Fax: (716) 363-6376 Address: 311 Eagle St, Dunkirk, NY 14048 County: Chautauqua Country: United States Single or Primary Contact: Michael D Edwards Contact Phone: (716) 366-2577 CLIA #: 33D2276680
PFI: F718 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mohammed A Siddiqi, M.D. Phone: (607) 722-8987 Fax: (607) 352-4777 Address: 5 Merrick St, Binghamton, NY 13904 County: Broome Country: United States Single or Primary Contact: Patrick Haley Contact Phone: (607) 722-8987 CLIA #: 33D2276980
PFI: F721 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 372-4523 Fax: Address: 253 Rte 16 South, Knapp Creek, NY 14760 County: Cattaraugus Country: United States Single or Primary Contact: Franklin Grimes Contact Phone: (716) 378-0985 CLIA #: 33D2276683
PFI: F722 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mario J Del Valle, D.O. Phone: (212) 538-5255 Fax: (212) 538-7755 Address: 11 Madison Ave - Level 1B, New York, NY 10010 County: New York Country: United States Single or Primary Contact: Oliva Goddard Contact Phone: (646) 574-8753 CLIA #: 33D2276684
PFI: F723 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jason A. Borton, M.D. Phone: (716) 693-2201 Fax: (716) 693-2216 Address: 495 Zimmerman St, North Tonawanda, NY 14120 County: Niagara Country: United States Single or Primary Contact: Joseph Sikora Contact Phone: (716) 693-2201 CLIA #: 33D2277106
PFI: F724 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W. Dailey, M.D. Phone: (518) 768-2823 Fax: Address: 2178 Tarrytown Rd, Clarksville, NY 12041 County: Albany Country: United States Single or Primary Contact: Matthew Latham Contact Phone: (518) 417-9840 CLIA #: 33D2276685
PFI: F725 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Faulk, M.D. Phone: (716) 792-9296 Fax: Address: 6481 W Main St, Portland, NY 14769 County: Chautauqua Country: United States Single or Primary Contact: Charles R Robertson Contact Phone: (716) 410-2010 CLIA #: 33D2276686
PFI: F726 Secondary Site ID: 0000 Certification Type: WAIVER Director: Heidi P Cordi, M.D. Phone: (518) 584-2110 Fax: Address: 342 Jefferson St, Saratoga Springs, NY 12866 County: Saratoga Country: United States Single or Primary Contact: Thomas Bennett Contact Phone: (518) 937-4032 CLIA #: 33D2276687