New York State Department of Health, Wadsworth Center
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JL Judson Holdings
PFI: D345 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sampson M Davis, M.D. Phone: (212) 864-7777 Fax: (844) 421-8668 Address: 161 Lenox Ave, New York, NY 10026 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2214380
PFI: D351 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jonathan S Waldman, M.D. Phone: (518) 585-3766 Fax: (518) 585-3861 Address: 101 Adirondack Dr - Suite 201, Ticonderoga, NY 12883 County: Essex Country: United States Single or Primary Contact: Corrina Demore Contact Phone: (518) 585-3786 CLIA #: 33D2213511
PFI: D352 Secondary Site ID: 0000 Certification Type: WAIVER Director: Steven F West, M.D. Phone: (631) 638-2600 Fax: (631) 638-2644 Address: 350 Old Country Rd, Riverhead, NY 11901 County: Suffolk Country: United States Single or Primary Contact: Steven West Contact Phone: (631) 638-0219 CLIA #: 33D2214517
PFI: D355 Secondary Site ID: 0000 Certification Type: WAIVER Director: David G Fairchild, M.D. Phone: (718) 966-5509 Fax: (718) 966-0044 Address: 260 Arden Ave, Staten Island, NY 10312 County: Richmond Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2213513
PFI: D356 Secondary Site ID: 0000 Certification Type: WAIVER Director: David G Fairchild, M.D. Phone: (914) 669-8289 Fax: (914) 669-8216 Address: 325 Rtes 100, Somers, NY 10589 County: Richmond Country: United States Single or Primary Contact: Maria Madeiros Contact Phone: (401) 770-5036 CLIA #: 33D2213514
PFI: D359 Secondary Site ID: 0000 Certification Type: WAIVER Director: Arvind K Wadhwa, M.D. Phone: (716) 308-9170 Fax: (716) 634-1376 Address: 5897 South Transit Rd, Lockport, NY 14094 County: Niagara Country: United States Single or Primary Contact: Mr. Josh Klein Contact Phone: (716) 308-9170 CLIA #: 33D2214522
PFI: D382 Secondary Site ID: 0000 Certification Type: WAIVER Director: David Huang, M.D. Phone: (631) 669-3323 Fax: (631) 669-2571 Address: 23 Yacht Club Rd, Babylon, NY 11702 County: Suffolk Country: United States Single or Primary Contact: Alice Hageman Contact Phone: (631) 609-3323 CLIA #: 33D2215966
PFI: D387 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert Erickson, D.O. Phone: (716) 926-8930 Fax: Address: 5200 South Park Ave, Hamburg, NY 14075 County: Erie Country: United States Single or Primary Contact: Christopher Siuta Contact Phone: (716) 926-8930 CLIA #: 33D2214804
One Care Health Advanced Practice Health and Wellness, Corp
PFI: D388 Secondary Site ID: 0000 Certification Type: WAIVER Director: Timothy A Aldrich, N.P. Phone: (347) 460-1239 Fax: Address: 97 Port Richmond Ave, Staten Island, NY 10302 County: Richmond Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2215855
Walden Fire District No 2 Rescue Volunteer Hose Company No 1
PFI: D394 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph R Takats, III, D.O. Phone: Fax: Address: 20 Pine Ridge Road, Cheektowaga, NY 14211 County: Erie Country: United States Single or Primary Contact: Kristen Tower Contact Phone: (716) 897-1176 CLIA #: 33D2214665