PFI: L005 Secondary Site ID: 0000 Certification Type: WAIVER Director: David G. Welch, M.D. Phone: (518) 648-6141 Fax: (518) 648-6143 Address: 139 White Birch Lane, Indian Lake, NY 12842 County: Hamilton Country: United States Single or Primary Contact: Erica Tomlinson Contact Phone: (518) 648-6141 CLIA #: 33D0705635
PFI: L011 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lucinda L. Ripoll, M.D. Phone: (718) 698-8800 Fax: (718) 698-5536 Address: 191 Bradley Ave, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Maria L Antiporda Contact Phone: (718) 698-8800 CLIA #: 33D0930382
PFI: L018 Secondary Site ID: 0000 Certification Type: WAIVER Director: Elena L Vezza, M.D. Phone: (718) 681-4000 Fax: (718) 681-5165 Address: 1072 Grand Concourse, Bronx, NY 10456 County: Bronx Country: United States Single or Primary Contact: Lantana A. Ahmed Contact Phone: (718) 681-4000 CLIA #: 33D0930918
PFI: L021 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter L. Depowski, M.D. Phone: (716) 357-3209 Fax: (716) 357-3191 Address: 21 Roberts Ave, Chautauqua, NY 14722 County: Chautauqua Country: United States Single or Primary Contact: Marianne Gehen Contact Phone: (716) 793-2272 CLIA #: 33D0929404
PFI: L028 Secondary Site ID: 0005 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (518) 568-3403 Fax: (518) 568-3216 Address: 8 Park Place - No 2, St Johnsville, NY 13452 County: Montgomery Country: United States Single or Primary Contact: Stephanie Horth Contact Phone: (607) 547-6728 CLIA #: 33D0860237
PFI: L028 Secondary Site ID: 0004 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (315) 822-6348 Fax: (315) 822-5600 Address: 544 E Main Street, West Winfield, NY 13491 County: Herkimer Country: United States Single or Primary Contact: Stephanie Horth Contact Phone: (607) 547-6728 CLIA #: 33D0860237
PFI: L035 Secondary Site ID: 0001 Certification Type: WAIVER Director: Charles F. Schwartz, D.O. Phone: (518) 736-1500 Fax: (518) 762-8194 Address: 23 South Perry St, Johnstown, NY 12095 County: Fulton Country: United States Single or Primary Contact: Ronald Fortes Contact Phone: (518) 773-5467 CLIA #: 33D0900703
PFI: L035 Secondary Site ID: 0002 Certification Type: WAIVER Director: Charles F. Schwartz, D.O. Phone: (518) 548-8155 Fax: (518) 548-4819 Address: Route 8, Speculator, NY 12164 County: Hamilton Country: United States Single or Primary Contact: Ronald Fortes Contact Phone: (518) 773-5467 CLIA #: 33D0900703
Nathan Littauer Primary Care Center at Caroga Lake
PFI: L035 Secondary Site ID: 0003 Certification Type: WAIVER Director: Charles F. Schwartz, D.O. Phone: (518) 853-2341 Fax: (518) 853-2347 Address: 1840 State Hwy 10, Caroga Lake, NY 12032 County: Fulton Country: United States Single or Primary Contact: Ronald Fortes Contact Phone: (518) 773-5467 CLIA #: 33D0900703
Nathan Littauer Primary Care Center at Perth-Broadalbin
PFI: L035 Secondary Site ID: 0004 Certification Type: WAIVER Director: Charles F. Schwartz, D.O. Phone: (518) 775-4277 Fax: Address: 4104 Route 30, Perth, NY 12010 County: Fulton Country: United States Single or Primary Contact: Ronald Fortes Contact Phone: (518) 773-5467 CLIA #: 33D0900703