New York State Department of Health, Wadsworth Center
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Labworq Diagnostics Inc
PFI: F728 Secondary Site ID: 0000 Certification Type: WAIVER Director: Vincent T. Brandeis, M.D. Phone: (646) 450-4344 Fax: Address: 455 Graham Ave, Brooklyn, NY 11222 County: Kings Country: United States Single or Primary Contact: Nate Sjoholm Contact Phone: (425) 495-0702 CLIA #: 33D2277292
Monte Nido Rockland - Eating Dis Treat of NY dba Monte Nido Rockland
PFI: F730 Secondary Site ID: 0000 Certification Type: WAIVER Director: Molly M Perlman, M.D. Phone: (845) 393-0555 Fax: (845) 634-0737 Address: 290 Phillips Hill Rd, New City, NY 10956 County: Rockland Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2278249
LaGuardia Community College Student Health Services
PFI: F731 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark E. Horowitz, M.D. Phone: (718) 482-5280 Fax: (718) 609-2016 Address: 31-10 Thomson Ave, Long Island City, NY 11101 County: Queens Country: United States Single or Primary Contact: Pratuang Jimenez Contact Phone: (718) 730-7659 CLIA #: 33D2277129
PFI: F732 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 962-2025 Fax: (716) 962-2301 Address: 30 Main St, Sinclairville, NY 14782 County: Chautauqua Country: United States Single or Primary Contact: Chris Roll Contact Phone: (716) 338-2815 CLIA #: 33D2276689
PFI: F733 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zach Liu, M.D. Phone: (866) 894-1300 Fax: Address: 725 W Skippack Pike - Suite 300, Blue Bell, PA 19422 County: Albany Country: United States Single or Primary Contact: Mr. Ashish Patel Contact Phone: (949) 769-4085 CLIA #: 33D2277812
PFI: F734 Secondary Site ID: 0000 Certification Type: WAIVER Director: Alicia R Christian, N.P. Phone: (212) 932-7305 Fax: Address: 1047 Amsterdam Ave, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2277110
PFI: F735 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Faulk, M.D. Phone: (716) 355-9954 Fax: Address: 8756 W Main St, Clymer, NY 14724 County: Chautauqua Country: United States Single or Primary Contact: Dr. Paul I Heslink Contact Phone: (716) 499-2558 CLIA #: 33D2278251
PFI: F736 Secondary Site ID: 0000 Certification Type: WAIVER Director: Elizabeth B Kapral, D.D.S. Phone: (716) 218-7399 Fax: (716) 500-8378 Address: 800 Hertel Ave - Suite 200, Buffalo, NY 14215 County: Erie Country: United States Single or Primary Contact: Susan Burgio Contact Phone: (716) 898-3531 CLIA #: 33D2278252
PFI: F738 Secondary Site ID: 0000 Certification Type: WAIVER Director: Christopher Thomas Tanski, M.D. Phone: (315) 699-2893 Fax: (315) 698-9117 Address: 8817 Cicero Center Rd, Cicero, NY 13039 County: Onondaga Country: United States Single or Primary Contact: Dan Delargy Contact Phone: (315) 380-6475 CLIA #: 33D2279744
PFI: F739 Secondary Site ID: 0000 Certification Type: Director: Joseph P Markham, M.D. Phone: (315) 676-4600 Fax: (315) 676-4499 Address: 54 County Rte 11, West Monroe, NY 13167 County: Oswego Country: United States Single or Primary Contact: Diane Thompson Contact Phone: (315) 382-3109 CLIA #: 33D2279746
PFI: F740 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kenneth B Svensson, M.D. Phone: (845) 353-0202 Fax: (845) 353-3819 Address: 46 N Broadway, Nyack, NY 10960 County: Rockland Country: United States Single or Primary Contact: Julia Burgos Contact Phone: (845) 353-1004 CLIA #: 33D2277113
PFI: F741 Secondary Site ID: 0000 Certification Type: WAIVER Director: Narayan D Agrawal, M.D. Phone: (941) 216-2997 Fax: (347) 284-1129 Address: 21470 Jamaica Ave, Queens Village, NY 11428 County: Queens Country: United States Single or Primary Contact: William D Cundiff Contact Phone: (941) 216-2997 CLIA #: 33D2277114
PFI: F742 Secondary Site ID: 0001 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (718) 945-5123 Fax: Address: 6035 Depot St, Great Valley, NY 14741 County: Cattaraugus Country: United States Single or Primary Contact: Daniel A Kruszynski Contact Phone: (716) 353-0206 CLIA #: 33D2277673
PFI: F742 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 699-2717 Fax: Address: 30 Fillmore Dr, Ellicottville, NY 14731 County: Cattaraugus Country: United States Single or Primary Contact: Daniel A Kruszynski Contact Phone: (716) 353-0206 CLIA #: 33D2277673