PFI: G637 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark Ilyagu, M.D. Phone: (585) 342-5540 Fax: (585) 342-5541 Address: 2150 St Paul Street, Rochester, NY 14621 County: Monroe Country: United States Single or Primary Contact: David Wettenstein Contact Phone: (585) 738-1231 CLIA #: 33D2296548
PFI: G640 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W. Dailey, M.D. Phone: (518) 872-9111 Fax: (518) 872-2543 Address: 978 Cole Hill Rd, East Berne, NY 12059 County: Albany Country: United States Single or Primary Contact: Karen Hamilton Contact Phone: (518) 461-0481 CLIA #: 33D2298879
PFI: G643 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert M Biernbaum, D.O. Phone: (838) 332-2213 Fax: (518) 742-8226 Address: 920 Lake George Rd - US 9, Queensbury, NY 12804 County: Warren Country: United States Single or Primary Contact: Sheryl Carleo-Gaines Contact Phone: (315) 454-6000 CLIA #: 33D2297483
Ambulatory Care Network - Weill Cornell Mother/Baby Mobile Med Unit
PFI: G646 Secondary Site ID: 0000 Certification Type: WAIVER Director: Auja L McDougale, M.D. Phone: (646) 799-7883 Fax: Address: 525 E 68th St - 5th Fl, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2298454
Ambulatory Care Network - Weill Cornell Sexual Health Mobile Med Unit
PFI: G647 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter Gordon, M.D. Phone: (646) 321-6892 Fax: Address: 525 E 68th St - 24th Fl, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2298448
PFI: G650 Secondary Site ID: 0000 Certification Type: WAIVER Director: Max MacBarb, M.D. Phone: (631) 537-1909 Fax: Address: 64 School St, Bridgehampton, NY 11937 County: Suffolk Country: United States Single or Primary Contact: David Baumrind Contact Phone: (631) 478-5199 CLIA #: 33D2298504
PFI: G651 Secondary Site ID: 0000 Certification Type: WAIVER Director: Krzysztof A Sygnarowicz, M.D. Phone: (631) 789-4187 Fax: (631) 789-4747 Address: 5 Cedar Court, Copiague, NY 11726 County: Nassau Country: United States Single or Primary Contact: Mona Belizaire Contact Phone: (631) 789-4187 CLIA #: 33D2297452
PFI: G652 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark C Pillitteri, D.O. Phone: (631) 242-7444 Fax: (631) 242-3810 Address: 2017 Deer Park Ave, Deer Park, NY 11729 County: Suffolk Country: United States Single or Primary Contact: Regina Gilberti Contact Phone: (631) 637-1303 CLIA #: 33D2298881
PFI: G655 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert S Brown, M.D. Phone: (646) 697-0927 Fax: (646) 397-0976 Address: 1283 York Ave - 9th Fl Rm 964, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Stephanie Furman Contact Phone: (646) 697-0939 CLIA #: 33D2297458
PFI: G657 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael W Torelli, M.D. Phone: (631) 581-5965 Fax: (631) 581-5968 Address: 6 Wyandanch Ave, East Islip, NY 11730 County: Suffolk Country: United States Single or Primary Contact: John Crowley Contact Phone: (516) 233-7156 CLIA #: 33D2300327
PFI: G658 Secondary Site ID: 0002 Certification Type: WAIVER Director: Douglas C George, M.D. Phone: (518) 563-4303 Fax: Address: 6973 State Rte 22, West Chazy, NY 12992 County: Clinton Country: United States Single or Primary Contact: Nicholas Pain Contact Phone: (518) 562-7499 CLIA #: 33D2296552
PFI: G658 Secondary Site ID: 0001 Certification Type: WAIVER Director: Douglas C George, M.D. Phone: (518) 834-9053 Fax: (518) 834-9054 Address: 8 Pleasant St, Keesville, NY 12944 County: Clinton Country: United States Single or Primary Contact: Nicholas Pain Contact Phone: (518) 562-7499 CLIA #: 33D2296552