New York State Department of Health, Wadsworth Center
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Lakeland Fire District
PFI: G107 Secondary Site ID: 0000 Certification Type: WAIVER Director: Scott S Coyne, M.D. Phone: (631) 588-8373 Fax: (631) 588-8816 Address: 929 Johnson Ave, Ronkonkoma, NY 11779 County: Suffolk Country: United States Single or Primary Contact: Joseph Fannon Contact Phone: (631) 588-8373 CLIA #: 33D2300448
PFI: G112 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert T Marshall, M.D. Phone: (631) 878-6333 Fax: (631) 878-3410 Address: 184 South St, Manorville, NY 11949 County: Suffolk Country: United States Single or Primary Contact: Lenny Schnall Contact Phone: (631) 278-2140 CLIA #: 33D2291704
PFI: G113 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 664-0633 Fax: (716) 386-7464 Address: 5385 Maple Springs-Ellery Rd, Bemus Point, NY 14712 County: Chautauqua Country: United States Single or Primary Contact: Douglas Conroe Contact Phone: (716) 386-2114 CLIA #: 33D2295697
PFI: G115 Secondary Site ID: 0002 Certification Type: WAIVER Director: Jorge L. Gardyn, M.D. Phone: 6314232635206 Fax: (631) 423-3854 Address: 500 S Service Rd, Melville, NY 11747 County: Suffolk Country: United States Single or Primary Contact: Andrew Heglund Contact Phone: (631) 423-2635 CLIA #: 33D2289841
PFI: G115 Secondary Site ID: 0003 Certification Type: WAIVER Director: Jorge L. Gardyn, M.D. Phone: 6314232635207 Fax: (631) 423-3854 Address: 274 Old Country Rd, Melville, NY 11747 County: Suffolk Country: United States Single or Primary Contact: Andrew Heglund Contact Phone: (631) 423-2635 CLIA #: 33D2289841
PFI: G118 Secondary Site ID: 0000 Certification Type: WAIVER Director: Angela Wilson, M.D. Phone: (914) 418-6200 Fax: (914) 909-1469 Address: 385 Ninth Ave, New York, NY 10001 County: New York Country: United States Single or Primary Contact: JoAnne Rivera Contact Phone: (914) 261-5628 CLIA #: 33D2288061
PFI: G121 Secondary Site ID: 0000 Certification Type: WAIVER Director: Victor F Politi, M.D. Phone: (718) 626-9320 Fax: (718) 729-4465 Address: 38-13 Northern Blvd, Long Island City, NY 11101 County: Queens Country: United States Single or Primary Contact: Matthew Pignataro Contact Phone: (718) 626-9320 CLIA #: 33D2305264
PFI: G123 Secondary Site ID: 0000 Certification Type: WAIVER Director: Eric F Decena, M.D. Phone: (631) 957-1457 Fax: (631) 957-1302 Address: 1630 Straight Path, Lindenhurst, NY 11757 County: Suffolk Country: United States Single or Primary Contact: Chris Gallway Contact Phone: (631) 457-2624 CLIA #: 33D2313837
PFI: G124 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lawrence R Schiff, M.D. Phone: (631) 323-2445 Fax: (631) 323-9706 Address: 32200 Main Rd, Orient, NY 11957 County: Suffolk Country: United States Single or Primary Contact: Susan Worth Contact Phone: (917) 566-5139 CLIA #: 33D2288063
PFI: G126 Secondary Site ID: 0000 Certification Type: WAIVER Director: Scott M Glick, D.O. Phone: (585) 554-3246 Fax: Address: 1255 Phelps Rd, Middlesex, NY 14507 County: Yates Country: United States Single or Primary Contact: Jonathan Wood Contact Phone: (585) 694-9422 CLIA #: 33D2288494
PFI: G128 Secondary Site ID: 0001 Certification Type: WAIVER Director: Augustas G Mantia, M.D. Phone: (631) 584-5760 Fax: (631) 684-3319 Address: 533 N Country Rd, St James, NY 11780 County: Suffolk Country: United States Single or Primary Contact: Gregory Companion Contact Phone: (516) 659-0188 CLIA #: 33D2303581