New York State Department of Health, Wadsworth Center
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Carlisle Fire Department
PFI: G070 Secondary Site ID: 0000 Certification Type: WAIVER Director: Deborah L. Funk Valois, M.D. Phone: (518) 234-2341 Fax: Address: 2417 Hwy Rte 20, Carlisle, NY 12031 County: Schoharie Country: United States Single or Primary Contact: Robert L Smith Contact Phone: (518) 234-8772 CLIA #: 33D2288003
PFI: G073 Secondary Site ID: 0000 Certification Type: WAIVER Director: Heather A McGowan, M.D. Phone: (800) 421-2031 Fax: (315) 253-7278 Address: 1916 Park Ave - Suite 412, New York, NY 10037 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2288005
Cayuga Centers NYC - Comprehensive Health Services
PFI: G073 Secondary Site ID: 0001 Certification Type: WAIVER Director: Heather A McGowan, M.D. Phone: (800) 421-2031 Fax: (646) 590-7305 Address: 68 E 131st St - Suite 100, New York, NY 10037 County: New York Country: United States Single or Primary Contact: Contact Phone: (929) 746-8600 CLIA #: 33D2288005
PFI: G074 Secondary Site ID: 0000 Certification Type: WAIVER Director: Juan F Acosta, D.O. Phone: (631) 582-4414 Fax: (631) 582-5241 Address: 4 Pineville Rd, Central Islip, NY 11722 County: Suffolk Country: United States Single or Primary Contact: Nicholas Tush Contact Phone: (631) 636-9656 CLIA #: 33D2291066
PFI: G075 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 296-5757 Fax: (716) 296-5757 Address: 6763 Main St, Cherry Creek, NY 14723 County: Chautauqua Country: United States Single or Primary Contact: Darlene Morrison Contact Phone: (716) 499-1618 CLIA #: 33D2288051
PFI: G079 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jack W Geffken, D.O. Phone: (631) 692-6772 Fax: (631) 692-6920 Address: 2 Main St, Cold Spring Harbor, NY 11724 County: Suffolk Country: United States Single or Primary Contact: Nerrin Blieka Contact Phone: (631) 384-1376 CLIA #: 33D2291067
PFI: G080 Secondary Site ID: 0001 Certification Type: WAIVER Director: Brian S Blaustein, D.O. Phone: (631) 567-2586 Fax: Address: 181 Bayview Walk, Cherry Grove, NY 11782 County: Suffolk Country: United States Single or Primary Contact: Contact Phone: 6315672586117 CLIA #: 33D2291823
PFI: G082 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Torelli, M.D. Phone: (631) 273-4560 Fax: (631) 231-5670 Address: 26 Fulton St, Brentwood, NY 11717 County: Suffolk Country: United States Single or Primary Contact: Frank Vasquez Contact Phone: (631) 356-2975 CLIA #: 33D2292017
PFI: G086 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian S Blaustein, D.O. Phone: (631) 583-8546 Fax: Address: 68 Bay Walk, Fair Harbor, NY 11706 County: Suffolk Country: United States Single or Primary Contact: Jacob Henner Contact Phone: (920) 543-6637 CLIA #: 33D2288056
PFI: G087 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 676-2644 Fax: Address: 980 Elton Rd, Farmersville, NY 14060 County: Cattaraugus Country: United States Single or Primary Contact: Kari M King Contact Phone: (716) 353-0814 CLIA #: 33D2288057
PFI: G088 Secondary Site ID: 0000 Certification Type: WAIVER Director: David P Neubert, M.D. Phone: (631) 667-3500 Fax: (631) 667-0725 Address: 94 Lake Ave, Deer Park, NY 11729 County: Suffolk Country: United States Single or Primary Contact: Joseph Sheehan Contact Phone: (631) 831-3412 CLIA #: 33D2289833