New York State Department of Health, Wadsworth Center
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NYU Langone Ambulatory Care - Garden City
PFI: G252 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paul E Harnick, M.D. Phone: (516) 222-8608 Fax: (516) 213-3601 Address: 1111 Franklin Ave, Garden City, NY 11530 County: Nassau Country: United States Single or Primary Contact: Claudia D Urena Contact Phone: (516) 663-3114 CLIA #: 33D2293709
PFI: G253 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael R Guccione, M.D. Phone: (718) 307-5731 Fax: (718) 307-5732 Address: 612 Allerton Ave - Basement, Bronx, NY 10467 County: Bronx Country: United States Single or Primary Contact: Sam Klein Contact Phone: (718) 307-5731 CLIA #: 33D2291763
PFI: G254 Secondary Site ID: 0000 Certification Type: WAIVER Director: Cynthia S Prabahar, M.D. Phone: (929) 447-0267 Fax: Address: 828 E 149th St - Suite C, Bronx, NY 10455 County: Bronx Country: United States Single or Primary Contact: Eliana Montanez Contact Phone: (646) 609-8377 CLIA #: 33D2289862
Orange Pediatric Care a Div of Boston Children's Health Physicians
PFI: G260 Secondary Site ID: 0000 Certification Type: WAIVER Director: Maria Bernardez, M.D. Phone: (845) 561-5227 Fax: (845) 561-5225 Address: 3206 NY Rte 9W, New Windsor, NY 12553 County: Orange Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2289872
PFI: G261 Secondary Site ID: 0000 Certification Type: PPMP Director: Marta M Sanchez, M.D. Phone: (845) 546-8410 Fax: Address: 140 Pine St, Kingston, NY 12401 County: Ulster Country: United States Single or Primary Contact: Patricia Engelhardt Contact Phone: (845) 546-8410 CLIA #: 33D2289721
PFI: G262 Secondary Site ID: 0000 Certification Type: WAIVER Director: Josef D Schenker, M.D. Phone: (718) 502-3910 Fax: (718) 502-3888 Address: 925 Hunts Point Ave, Bronx, NY 10459 County: Bronx Country: United States Single or Primary Contact: Dave Singer Contact Phone: (718) 502-3909 CLIA #: 33D2289875
PFI: G263 Secondary Site ID: 0000 Certification Type: WAIVER Director: Josef D Schenker, M.D. Phone: (718) 819-6782 Fax: (718) 502-3888 Address: 1743 Fulton St, Brooklyn, NY 11233 County: Kings Country: United States Single or Primary Contact: Dave Singer Contact Phone: (718) 502-3909 CLIA #: 33D2289877
PFI: G264 Secondary Site ID: 0000 Certification Type: WAIVER Director: Thomas B Williams, M.D. Phone: (518) 623-4911 Fax: (518) 623-3651 Address: 3 King St, Warrensburg, NY 12885 County: Warren Country: United States Single or Primary Contact: Corey Ouellette Contact Phone: (519) 744-9997 CLIA #: 33D2292115
PFI: G265 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jean J Yanick, N.P. Phone: (646) 705-1850 Fax: (212) 888-6024 Address: 1750 York Ave, New York, NY 10128 County: New York Country: United States Single or Primary Contact: Rose Velasquez Contact Phone: (201) 641-2125 CLIA #: 33D2291164
PFI: G266 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lesley Rabach, M.D. Phone: (212) 777-2272 Fax: (212) 777-2274 Address: 940 Park Ave, New York, NY 10028 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2291761
PFI: G270 Secondary Site ID: 0000 Certification Type: WAIVER Director: James A Tacci, M.D. Phone: (585) 338-5242 Fax: (585) 510-5543 Address: 1400 N Goodman St, Rochester, NY 14609 County: Monroe Country: United States Single or Primary Contact: Pamela Baker-Hopkins Contact Phone: (585) 338-5242 CLIA #: 33D2292120
PFI: G271 Secondary Site ID: 0001 Certification Type: WAIVER Director: Brian S Blaustein, D.O. Phone: (631) 273-3701 Fax: (631) 951-4513 Address: 1600 5th Ave, Bay Shore, NY 11706 County: Suffolk Country: United States Single or Primary Contact: Andrew Viskovich Contact Phone: (631) 560-7120 CLIA #: 33D2295725
PFI: G271 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian S Blaustein, D.O. Phone: (631) 273-3701 Fax: (631) 951-4513 Address: 29 3rd Ave, Brentwood, NY 11717 County: Suffolk Country: United States Single or Primary Contact: Andrew Viskovich Contact Phone: (631) 560-7120 CLIA #: 33D2295725
PFI: G271 Secondary Site ID: 0002 Certification Type: WAIVER Director: Brian S Blaustein, D.O. Phone: (631) 273-3701 Fax: (631) 951-4513 Address: 16 Skidmore Rd, Deer Park, NY 11729 County: Suffolk Country: United States Single or Primary Contact: Andrew Viskovich Contact Phone: (631) 560-7120 CLIA #: 33D2295725