PFI: F813 Secondary Site ID: 0000 Certification Type: WAIVER Director: Eugene M Raber, M.D. Phone: (718) 355-3085 Fax: (718) 355-3086 Address: 470 New Dorp Lane, New Dorp, NY 10306 County: Richmond Country: United States Single or Primary Contact: Cheryl Bambach Contact Phone: (718) 355-3085 CLIA #: 33D2280936
VBMC Empolyee Health Nuvance Health Medical Practice PC
PFI: F815 Secondary Site ID: 0000 Certification Type: WAIVER Director: Erin L McLaughlin, M.D. Phone: (845) 431-9464 Fax: (845) 483-6109 Address: 45 Reade Place - 1st Fl Suite 1, Poughkeepsie, NY 12601 County: New York Country: United States Single or Primary Contact: Nadine Pouliot Contact Phone: (845) 431-9464 CLIA #: 33D2280939
PFI: F817 Secondary Site ID: 0001 Certification Type: WAIVER Director: John R. Zaso, D.O. Phone: (516) 542-0584 Fax: (516) 542-0593 Address: 3 Bob Reed Lane, Westbury, NY 11590 County: Nassau Country: United States Single or Primary Contact: John Priest Contact Phone: (516) 542-0877 CLIA #: 33D2286428
PFI: F817 Secondary Site ID: 0000 Certification Type: WAIVER Director: John R. Zaso, D.O. Phone: (516) 542-0578 Fax: (516) 542-0593 Address: 197 East Meadow Ave, East Meadow, NY 11554 County: Nassau Country: United States Single or Primary Contact: John Priest Contact Phone: (516) 542-0877 CLIA #: 33D2286428
PFI: F818 Secondary Site ID: 0000 Certification Type: WAIVER Director: Fred D Archer, III, M.D. Phone: (716) 768-7600 Fax: (716) 768-7621 Address: 1050 Niagara St - Suite 150, Buffalo, NY 14213 County: Erie Country: United States Single or Primary Contact: Ebony Colkey Contact Phone: (716) 768-7569 CLIA #: 33D2280701
PFI: F820 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 672-2125 Fax: (716) 672-2112 Address: 80 W Main St, Fredonia, NY 14063 County: Chautauqua Country: United States Single or Primary Contact: Dan Aldrich Contact Phone: (716) 672-2125 CLIA #: 33D2280942
PFI: F822 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Faulk, M.D. Phone: (716) 792-4222 Fax: (716) 792-4222 Address: 80 Lake Ave, Brocton, NY 14716 County: Chautauqua Country: United States Single or Primary Contact: David Hazelton Contact Phone: (716) 785-5278 CLIA #: 33D2281226
Columbia Univ Div of Maternal Fetal Med/Center for Prenatal Pediatrics
PFI: F824 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lynn L Simpson, M.D. Phone: (212) 305-6293 Fax: (212) 342-2717 Address: 3959 Broadway - 12th Floor, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Alannah Kopinec Contact Phone: (212) 305-6293 CLIA #: 33D2280943
PFI: F824 Secondary Site ID: 0002 Certification Type: WAIVER Director: Lynn L Simpson, M.D. Phone: (212) 305-5819 Fax: (212) 305-7806 Address: 622 W 168th St - PH16, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Alannah Kopinec Contact Phone: (212) 305-3181 CLIA #: 33D2280943