New York State Department of Health, Wadsworth Center
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Duane Reade No. 14104
PFI: G615 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 213-9730 Fax: (212) 213-1070 Address: 401 Park Ave South, New York, NY 10016-8808 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2296882
PFI: G616 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 582-8525 Fax: (212) 489-2059 Address: 51 W 51st St, New York, NY 10019-6113 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2296884
PFI: G617 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (332) 799-7306 Fax: (332) 799-7307 Address: 383 W 31st St, New York, NY 10001-2701 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2296896
PFI: G618 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 223-1765 Fax: (212) 223-3087 Address: 949 3rd Ave, New York, NY 10022-2702 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2296898
PFI: G619 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (917) 326-9030 Fax: (917) 326-9035 Address: 465 2nd Ave, New York, NY 10016-9106 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2296902
PFI: G620 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 685-2047 Fax: (212) 685-2501 Address: 304 Park Ave South, New York, NY 10010-4301 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2296908
PFI: G621 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 724-4270 Fax: (212) 724-6844 Address: 609 Columbus Ave, New York, NY 10024-1408 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2296913
PFI: G622 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 316-5113 Fax: (212) 663-2146 Address: 2864 Broadway, New York, NY 10025-7824 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2297067
PFI: G623 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 829-0651 Fax: (212) 829-9378 Address: 773 Lexington Ave, New York, NY 10065-8531 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2297071
PFI: G624 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 273-0889 Fax: (212) 273-0899 Address: 625 8th Ave, New York, NY 10018-1415 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2297075
PFI: G625 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 808-4743 Fax: (212) 808-4963 Address: 122 E 42nd St, New York, NY 10168-0002 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2297081
PFI: G626 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 864-4189 Fax: (212) 866-0471 Address: 700 Columbus Ave, New York, NY 10025-6662 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2297288
PFI: G627 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (718) 747-0291 Fax: (718) 747-0295 Address: 2428 Bell Blvd, Bayside, NY 11360-2223 County: Queens Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2297291
PFI: G628 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael F Kaplan, N.P. Phone: (845) 354-9404 Fax: (845) 354-3305 Address: 408 Wilson Ave, New Square, NY 10977 County: Rockland Country: United States Single or Primary Contact: Lori Masterson Contact Phone: (845) 290-8912 CLIA #: 33D2296558
PFI: G629 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael F Kaplan, N.P. Phone: (845) 356-3610 Fax: (845) 290-8953 Address: 205 Airport Executive Park, Nanuet, NY 10954 County: Rockland Country: United States Single or Primary Contact: Lori Masterson Contact Phone: (845) 290-8912 CLIA #: 33D2296559
PFI: G632 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Walter R. Burack, M.D., Ph.D. Phone: (585) 275-0229 Fax: (585) 756-4493 Address: 10 Miracle Mile Dr - Surgery Suite, Rochester, NY 14623 County: Monroe Country: United States Single or Primary Contact: Staci Evenhouse Contact Phone: (585) 275-7675 CLIA #: 33D2288175
PFI: G634 Secondary Site ID: 0000 Certification Type: WAIVER Director: Martin C. Masarech, M.D. Phone: (607) 656-4060 Fax: (607) 656-4555 Address: 109 North Rd, Greene, NY 13778 County: Chenango Country: United States Single or Primary Contact: Kyle Griffith Contact Phone: (607) 373-1812 CLIA #: 33D2307533
PFI: G635 Secondary Site ID: 0000 Certification Type: WAIVER Director: Craig W Richards, M.D. Phone: (518) 529-6010 Fax: Address: 2340 County Rte 5, Moira, NY 12957 County: Franklin Country: United States Single or Primary Contact: Shawn Niles Contact Phone: (518) 319-0315 CLIA #: 33D2295714