New York State Department of Health, Wadsworth Center
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Bridgehampton Fire District
PFI: G650 Secondary Site ID: 0000 Certification Type: WAIVER Director: Max MacBarb, M.D. Phone: (631) 537-1909 Fax: Address: 64 School St, Bridgehampton, NY 11937 County: Suffolk Country: United States Single or Primary Contact: David Baumrind Contact Phone: (631) 478-5199 CLIA #: 33D2298504
PFI: G651 Secondary Site ID: 0000 Certification Type: WAIVER Director: Krzysztof A Sygnarowicz, M.D. Phone: (631) 789-4187 Fax: (631) 789-4747 Address: 5 Cedar Court, Copiague, NY 11726 County: Nassau Country: United States Single or Primary Contact: Mona Belizaire Contact Phone: (631) 789-4187 CLIA #: 33D2297452
PFI: G652 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark C Pillitteri, D.O. Phone: (631) 242-7444 Fax: (631) 242-3810 Address: 2017 Deer Park Ave, Deer Park, NY 11729 County: Suffolk Country: United States Single or Primary Contact: Regina Gilberti Contact Phone: (631) 637-1303 CLIA #: 33D2298881
PFI: G655 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert S Brown, M.D. Phone: (646) 697-0927 Fax: (646) 397-0976 Address: 1283 York Ave - 9th Fl Rm 964, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Stephanie Furman Contact Phone: (646) 697-0939 CLIA #: 33D2297458
PFI: G657 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Torelli, M.D. Phone: (631) 581-5965 Fax: (631) 581-5968 Address: 6 Wyandanch Ave, East Islip, NY 11730 County: Suffolk Country: United States Single or Primary Contact: John Crowley Contact Phone: (516) 233-7156 CLIA #: 33D2300327
PFI: G658 Secondary Site ID: 0002 Certification Type: WAIVER Director: Douglas C George, M.D. Phone: (518) 563-4303 Fax: Address: 6973 State Rte 22, West Chazy, NY 12992 County: Clinton Country: United States Single or Primary Contact: Nicholas Pain Contact Phone: (518) 562-7499 CLIA #: 33D2296552
PFI: G658 Secondary Site ID: 0003 Certification Type: WAIVER Director: Douglas C George, M.D. Phone: (518) 562-7499 Fax: (518) 562-7950 Address: 53 Boynton Ave, Plattsburgh, NY 12901 County: Clinton Country: United States Single or Primary Contact: Nicholas Pain Contact Phone: (518) 562-7499 CLIA #: 33D2296552
PFI: G658 Secondary Site ID: 0000 Certification Type: WAIVER Director: Douglas C George, M.D. Phone: (518) 562-7499 Fax: (518) 562-7950 Address: 75 Beekman St, Plattsburgh, NY 12901 County: Clinton Country: United States Single or Primary Contact: Nicholas Pain Contact Phone: (518) 562-7499 CLIA #: 33D2296552
PFI: G658 Secondary Site ID: 0001 Certification Type: WAIVER Director: Douglas C George, M.D. Phone: (518) 834-9053 Fax: (518) 834-9054 Address: 8 Pleasant St, Keesville, NY 12944 County: Clinton Country: United States Single or Primary Contact: Nicholas Pain Contact Phone: (518) 562-7499 CLIA #: 33D2296552
PFI: G659 Secondary Site ID: 0000 Certification Type: WAIVER Director: Thomas B Williams, M.D. Phone: (518) 639-1005 Fax: (518) 639-7505 Address: 11287 State Rte 149, Fort Ann, NY 12827 County: Washington Country: United States Single or Primary Contact: Regina Ladd Contact Phone: (518) 223-3540 CLIA #: 33D2303287
PFI: G662 Secondary Site ID: 0000 Certification Type: WAIVER Director: Douglas H Girling, D.O. Phone: (518) 642-1836 Fax: (518) 642-3935 Address: 52 E Potter Ave, Granville, NY 12832 County: Washington Country: United States Single or Primary Contact: Paul Zinn Contact Phone: (518) 642-1830 CLIA #: 33D2304367
PFI: G664 Secondary Site ID: 0000 Certification Type: PPMP Director: Kevin A. Gallagher, M.D. Phone: (518) 824-2562 Fax: (833) 941-5091 Address: 16 3rd St - Suite A, Malone, NY 12953 County: Franklin Country: United States Single or Primary Contact: Debra Galatioto Contact Phone: (518) 761-0300 CLIA #: 33D2296689
PFI: G669 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael P Pond, M.D. Phone: (518) 523-9512 Fax: (518) 523-5379 Address: 388 Mill Pond Dr, Lake Placid, NY 12946 County: Essex Country: United States Single or Primary Contact: Sara Ashley Contact Phone: (719) 306-5287 CLIA #: 33D2304026