New York State Department of Health, Wadsworth Center
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Refuah - Wilson
PFI: G628 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael F Kaplan, N.P. Phone: (845) 354-9404 Fax: (845) 354-3305 Address: 408 Wilson Ave, New Square, NY 10977 County: Rockland Country: United States Single or Primary Contact: Lori Masterson Contact Phone: (845) 290-8912 CLIA #: 33D2296558
PFI: G629 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael F Kaplan, N.P. Phone: (845) 356-3610 Fax: (845) 290-8953 Address: 205 Airport Executive Park, Nanuet, NY 10954 County: Rockland Country: United States Single or Primary Contact: Lori Masterson Contact Phone: (845) 290-8912 CLIA #: 33D2296559
PFI: G632 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Jim C Lee, M.D. Phone: (585) 275-0229 Fax: (585) 756-4493 Address: 10 Miracle Mile Dr - Surgery Suite, Rochester, NY 14623 County: Monroe Country: United States Single or Primary Contact: Staci Evenhouse Contact Phone: (585) 275-7675 CLIA #: 33D2288175
PFI: G634 Secondary Site ID: 0000 Certification Type: WAIVER Director: Martin C. Masarech, M.D. Phone: (607) 656-4060 Fax: (607) 656-4555 Address: 109 North Rd, Greene, NY 13778 County: Chenango Country: United States Single or Primary Contact: Kyle Griffith Contact Phone: (607) 373-1812 CLIA #: 33D2307533
PFI: G635 Secondary Site ID: 0000 Certification Type: WAIVER Director: Craig W Richards, M.D. Phone: (518) 529-6010 Fax: Address: 2340 County Rte 5, Moira, NY 12957 County: Franklin Country: United States Single or Primary Contact: Shawn Niles Contact Phone: (518) 319-0315 CLIA #: 33D2295714
PFI: G637 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark Ilyagu, M.D. Phone: (585) 342-5540 Fax: (585) 342-5541 Address: 2150 St Paul Street, Rochester, NY 14621 County: Monroe Country: United States Single or Primary Contact: David Wettenstein Contact Phone: (585) 738-1231 CLIA #: 33D2296548
PFI: G640 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W. Dailey, M.D. Phone: (518) 872-9111 Fax: (518) 872-2543 Address: 978 Cole Hill Rd, East Berne, NY 12059 County: Albany Country: United States Single or Primary Contact: Karen Hamilton Contact Phone: (518) 461-0481 CLIA #: 33D2298879
PFI: G643 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert M Biernbaum, D.O. Phone: (838) 332-2213 Fax: (518) 742-8226 Address: 920 Lake George Rd - US 9, Queensbury, NY 12804 County: Warren Country: United States Single or Primary Contact: Sheryl Carleo-Gaines Contact Phone: (315) 454-6000 CLIA #: 33D2297483
Niagara County Sheriff's Office Emergency Response Team
PFI: G644 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael C O'Brien, M.D. Phone: (716) 438-3394 Fax: Address: 5526 Niagara St Ext, Lockport, NY 14094 County: Niagara Country: United States Single or Primary Contact: David Ganz Contact Phone: (716) 438-3394 CLIA #: 33D2321467
Ambulatory Care Network - Weill Cornell Mother/Baby Mobile Med Unit
PFI: G646 Secondary Site ID: 0000 Certification Type: WAIVER Director: Auja L McDougale, M.D. Phone: (646) 799-7883 Fax: Address: 525 E 68th St - 5th Fl, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2298454
Ambulatory Care Network - Weill Cornell Sexual Health Mobile Med Unit
PFI: G647 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter Gordon, M.D. Phone: (646) 321-6892 Fax: Address: 525 E 68th St - 24th Fl, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2298448