New York State Department of Health, Wadsworth Center
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Stapleton Methadone Clinic
PFI: L356 Secondary Site ID: 0011 Certification Type: WAIVER Director: Lynne M. Opitz, M.D. Phone: (718) 226-7406 Fax: (718) 447-6271 Address: 111 Water Street, Staten Island, NY 10304 County: Richmond Country: United States Single or Primary Contact: Lori Burkard Contact Phone: (718) 226-4135 CLIA #: 33D0938280
PFI: L356 Secondary Site ID: 0008 Certification Type: WAIVER Director: Lynne M. Opitz, M.D. Phone: (718) 226-6939 Fax: Address: 392 Seguine Ave, Staten Island, NY 10309 County: Richmond Country: United States Single or Primary Contact: Lori Burkard Contact Phone: (718) 226-2199 CLIA #: 33D0938280
PFI: L356 Secondary Site ID: 0003 Certification Type: WAIVER Director: Lynne M. Opitz, M.D. Phone: (718) 987-0128 Fax: (718) 987-0223 Address: 465 New Dorp Avenue, Staten Island, NY 10306 County: Richmond Country: United States Single or Primary Contact: Lori Burkard Contact Phone: (718) 226-6293 CLIA #: 33D0938280
PFI: L357 Secondary Site ID: 0001 Certification Type: WAIVER Director: Rosalinda Rosario-Lipka, D.O. Phone: (718) 924-2254 Fax: (718) 442-0189 Address: 439 Port Richmond Avenue, Staten Island, NY 10302 County: Richmond Country: United States Single or Primary Contact: Henry Thompson Contact Phone: 71892422547416 CLIA #: 33D0938281
PFI: L403 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paul A Cross, D.O. Phone: (585) 256-1330 Fax: (585) 256-3823 Address: 1065 Senator Keating Blvd, Rochester, NY 14618 County: Monroe Country: United States Single or Primary Contact: Melissa Delaney Contact Phone: (585) 256-1330 CLIA #: 33D0701985
PFI: L404 Secondary Site ID: 0000 Certification Type: PPMP Director: Ellen M Larson, M.D. Phone: (315) 228-7750 Fax: (315) 228-6823 Address: 140 Broad St, Hamilton, NY 13346 County: Madison Country: United States Single or Primary Contact: Julie Dolly Contact Phone: (315) 228-7750 CLIA #: 33D0938776
PFI: L439 Secondary Site ID: 0007 Certification Type: PPMP Director: Justin J Kopa, M.D. Phone: (212) 543-3943 Fax: (212) 927-0511 Address: 465 W 167th St, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Carolyn Glaser Contact Phone: CLIA #: 33D0912138
The Childrens Aid Society PS 5 - School Based Health Center
PFI: L439 Secondary Site ID: 0005 Certification Type: PPMP Director: Justin J Kopa, M.D. Phone: (212) 567-6066 Fax: (212) 569-3803 Address: 3703 Tenth Ave, New York, NY 10034 County: New York Country: United States Single or Primary Contact: Carolyn Glaser Contact Phone: CLIA #: 33D0912138