New York State Department of Health, Wadsworth Center
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Medical Group of New York, P.C.
PFI: D410 Secondary Site ID: 0000 Certification Type: WAIVER Director: David G Fairchild, M.D. Phone: (845) 623-6232 Fax: (845) 623-6286 Address: 330 Rte 304, Bardonia, NY 10954 County: Rockland Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D2214865
PFI: D419 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jonathan T Chang, M.D. Phone: 718798110 Fax: (347) 284-1818 Address: 3845 Carpenter Ave, Bronx, NY 10467 County: Bronx Country: United States Single or Primary Contact: Mr. Steven Freifeld Contact Phone: (718) 798-1100 CLIA #: 33D2216957
PFI: D423 Secondary Site ID: 0000 Certification Type: WAIVER Director: Adam J Nadelson, M.D. Phone: (212) 389-2725 Fax: (646) 774-0936 Address: 53 W 36th St - Suite 204, New York, NY 10018 County: New York Country: United States Single or Primary Contact: Dr. Adam Nadelson Contact Phone: (844) 843-4836 CLIA #: 33D2190976
PFI: D425 Secondary Site ID: 0000 Certification Type: WAIVER Director: Arvind K Wadhwa, M.D. Phone: (716) 308-9170 Fax: (716) 634-1376 Address: 2339 Union Rd, West Seneca, NY 14224 County: Erie Country: United States Single or Primary Contact: Josh Klein Contact Phone: (716) 308-9170 CLIA #: 33D2214807
PFI: D432 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lauren D Levine, M.D. Phone: (212) 932-6825 Fax: (212) 932-6987 Address: 101 W 91st St, New York, NY 10024 County: New York Country: United States Single or Primary Contact: Irene Bosker Contact Phone: (212) 932-6825 CLIA #: 33D2215969
PFI: D436 Secondary Site ID: 0000 Certification Type: WAIVER Director: Dennis Cardone, D.O. Phone: (646) 979-5141 Fax: (646) 979-5031 Address: 222 E 16th St, New York, NY 10003 County: New York Country: United States Single or Primary Contact: Tyler Troppmann Contact Phone: (646) 979-5141 CLIA #: 33D2215416
PFI: D444 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rachel I Raven, N.P. Phone: (315) 854-0863 Fax: (315) 535-4484 Address: 137 E Main St, Gouverneur, NY 13642 County: St. Lawrence Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2215865
PFI: D450 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kevin Hoyt, M.D. Phone: (315) 866-2336 Fax: (315) 866-1736 Address: 15 State Rte 5 S, Mohawk, NY 13407 County: Herkimer Country: United States Single or Primary Contact: Donald Kane Jr Contact Phone: (315) 866-2336 CLIA #: 33D2263437
PFI: D451 Secondary Site ID: 0000 Certification Type: PPMP Director: Jayne E Jordan, P.A. Phone: (917) 526-1474 Fax: (212) 598-0059 Address: 80 5th Ave - 3rd Fl, New York, NY 10011 County: New York Country: United States Single or Primary Contact: Donna Freeman-Tweed Contact Phone: (212) 229-1671 CLIA #: 33D2216967