New York State Department of Health, Wadsworth Center
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Village Med and Rehabilitation
PFI: H571 Secondary Site ID: 0000 Certification Type: WAIVER Director: Eric S Berger, M.D. Phone: (718) 429-6630 Fax: (718) 429-6584 Address: 61-33 Woodhaven Blvd, Rego Park, NY 11374 County: Queens Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2344519
PFI: H574 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paolo T Coppola, M.D. Phone: (315) 387-4335 Fax: (631) 846-8138 Address: 1000 Main St - 1st Fl South Suite, Port Jefferson, NY 11777 County: Suffolk Country: United States Single or Primary Contact: Tracey Wallace Contact Phone: (631) 696-4357 CLIA #: 33D2341406
PFI: H577 Secondary Site ID: 0000 Certification Type: WAIVER Director: Abdalla I Adam, M.D. Phone: (718) 251-1400 Fax: (718) 251-1401 Address: 1900B Ralph Ave, Brooklyn, NY 11234 County: Kings Country: United States Single or Primary Contact: Bobby Borukhov Contact Phone: (718) 930-8565 CLIA #: 33D2341409
Health Services by Slazyk Adult Health NP and Gurtoo RPN PLLC
PFI: H578 Secondary Site ID: 0000 Certification Type: WAIVER Director: Andrea L Slazyk, N.P. Phone: (716) 906-9480 Fax: Address: 10 Sheridan Dr, Tonawanda, NY 14150 County: Erie Country: United States Single or Primary Contact: Krista Gurtoo Contact Phone: (716) 906-9480 CLIA #: 33D2341594
PFI: H582 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zia U Khan, M.D. Phone: (718) 689-1313 Fax: (866) 241-6159 Address: 4105 Ave V, Brooklyn, NY 11234 County: Kings Country: United States Single or Primary Contact: Hawa Jalloh Contact Phone: (718) 689-1313 CLIA #: 33D2341410
PFI: H585 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jose A Goris, M.D. Phone: (212) 923-5733 Fax: (212) 923-5748 Address: 4180 Broadway, New York, NY 10033 County: New York Country: United States Single or Primary Contact: Yolanda Mendez Contact Phone: (212) 923-5733 CLIA #: 33D2348713
PFI: H586 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paul Salzberg, M.D. Phone: (845) 252-3336 Fax: Address: 6509 State Rte 97, Narrowsburg, NY 12764 County: Sullivan Country: United States Single or Primary Contact: Joseph Velilla Contact Phone: (845) 252-3336 CLIA #: 33D2348714
PFI: H587 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paige M Reinfeld, D.O. Phone: (845) 297-4194 Fax: (845) 297-4560 Address: 88 Old Hopewell Rd, Wappingers Falls, NY 12590 County: Dutchess Country: United States Single or Primary Contact: Thomas Gallman Contact Phone: (845) 418-9645 CLIA #: 33D2348715
PFI: H596 Secondary Site ID: 0000 Certification Type: WAIVER Director: Alexander Z Selioutski, M.D. Phone: (716) 672-2000 Fax: (716) 363-2172 Address: 268 W Main St - Ste 2, Fredonia, NY 14063 County: Chautauqua Country: United States Single or Primary Contact: Wendy Leamon Contact Phone: (716) 672-2000 CLIA #: 33D2348982