PFI: D465 Secondary Site ID: 0000 Certification Type: WAIVER Director: Childebert St Louis, M.D. Phone: (518) 943-7100 Fax: Address: 122 Jefferson Heights, Catskill, NY 12414 County: Greene Country: United States Single or Primary Contact: Galina Curry Contact Phone: (845) 357-7387 CLIA #: 33D2263438
Rome Hospital Residential Health Care Facility (SNF)
PFI: D466 Secondary Site ID: 0000 Certification Type: WAIVER Director: Todd M. Podkowka, M.D. Phone: (315) 338-7305 Fax: Address: 1500 N James St, Rome, NY 13440 County: Oneida Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2215429
PFI: D467 Secondary Site ID: 0001 Certification Type: WAIVER Director: Robert P Nielson, M.D. Phone: (518) 681-4301 Fax: (518) 681-4340 Address: 131 Notre Dame St, Hudson Falls, NY 12839 County: Washington Country: United States Single or Primary Contact: Jodie Boucher Contact Phone: (518) 681-4218 CLIA #: 33D2215410
PFI: D467 Secondary Site ID: 0002 Certification Type: WAIVER Director: Robert P Nielson, M.D. Phone: (518) 681-4401 Fax: (518) 681-4340 Address: 139 Maple St, Hudson Falls, NY 12839 County: Washington Country: United States Single or Primary Contact: Jodie Boucher Contact Phone: (518) 681-4218 CLIA #: 33D2215410
PFI: D467 Secondary Site ID: 0003 Certification Type: WAIVER Director: Robert P Nielson, M.D. Phone: (518) 681-4451 Fax: (518) 681-4340 Address: 45 Vaughn Rd, Hudson Falls, NY 12839 County: Washington Country: United States Single or Primary Contact: Jodie Boucher Contact Phone: (518) 681-4218 CLIA #: 33D2215410
PFI: D467 Secondary Site ID: 0004 Certification Type: WAIVER Director: Robert P Nielson, M.D. Phone: (518) 681-4501 Fax: (518) 681-4340 Address: 2 Clark St, Hudson Falls, NY 12839 County: Washington Country: United States Single or Primary Contact: Jodie Boucher Contact Phone: (518) 681-4218 CLIA #: 33D2215410
PFI: D467 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert P Nielson, M.D. Phone: (518) 747-2121 Fax: (518) 681-4340 Address: 80 E LaBarge St, Hudson Falls, NY 12839 County: Washington Country: United States Single or Primary Contact: Jodie Boucher Contact Phone: (518) 681-4218 CLIA #: 33D2215410
PFI: D474 Secondary Site ID: 0000 Certification Type: WAIVER Director: Salman N Khan, M.D. Phone: (585) 321-1490 Fax: (585) 321-3289 Address: 3831 E Henrietta Rd, Henrietta, NY 14467 County: Monroe Country: United States Single or Primary Contact: Stephanie Wells Contact Phone: (585) 321-1490 CLIA #: 33D2216968
PFI: D476 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel B Fenster, M.D. Phone: (914) 693-8952 Fax: (646) 619-4488 Address: 159 Empire Rd, Copake, NY 12516 County: Columbia Country: United States Single or Primary Contact: Seth Gutkin Contact Phone: (914) 693-8952 CLIA #: 33D2215867
PFI: D527 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sean D Kalloo, M.D. Phone: (631) 881-5577 Fax: (631) 881-4109 Address: 200 W 57th St - Suite 206, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Gemma Pamplona Contact Phone: (347) 491-1382 CLIA #: 33D2223161
PFI: D537 Secondary Site ID: 0000 Certification Type: WAIVER Director: Douglas R Lazzaro, M.D. Phone: (929) 455-5522 Fax: (929) 455-9243 Address: 222 E 41st St - 4th Fl, New York, NY 10017 County: New York Country: United States Single or Primary Contact: Uliana Saites Contact Phone: (646) 754-4554 CLIA #: 33D2216632
PFI: D538 Secondary Site ID: 0000 Certification Type: WAIVER Director: Thomas N Ljungman, M.D. Phone: (914) 764-1500 Fax: (914) 764-1600 Address: 392 Antlers Rd, Raquette Lake, NY 13436 County: Hamilton Country: United States Single or Primary Contact: Peter Schneidman Contact Phone: (914) 765-1500 CLIA #: 33D2218889
PFI: D548 Secondary Site ID: 0000 Certification Type: WAIVER Director: Eric R Weinberg, M.D. Phone: (845) 888-5611 Fax: (845) 402-7440 Address: 56 Park Rd, Wurtsboro, NY 12790 County: Sullivan Country: United States Single or Primary Contact: Michael Childs Contact Phone: (845) 888-5611 CLIA #: 33D2216637