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
PFI: L005 Secondary Site ID: 0000 Certification Type: WAIVER Director: Russell E Rider, 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: Junie Delizo 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: 0002 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (315) 823-4546 Fax: (315) 823-4760 Address: 170 Burwell Street, Little Falls, NY 13365 County: Herkimer Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: (607) 547-6728 CLIA #: 33D0860237
PFI: L028 Secondary Site ID: 0003 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (315) 858-0040 Fax: (315) 858-0075 Address: 8550 State Hwy 28, Richfield Springs, NY 13439 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph 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: Ullas Joseph Contact Phone: (607) 547-6728 CLIA #: 33D0860237