New York State Department of Health, Wadsworth Center
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Brooklyn MSR Care
PFI: D604 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rameen M Miarrostami, M.D. Phone: (718) 234-3333 Fax: (718) 234-1104 Address: 6010 Bay Parkway - Suite 802, Brooklyn, NY 11204 County: Kings Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D0713230
PFI: D606 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ryan W Coates, D.O. Phone: (315) 268-6683 Fax: (315) 268-7710 Address: 10 Clarkson Avenue - Box 8715, Potsdam, NY 13699 County: St. Lawrence Country: United States Single or Primary Contact: Doug Bohl Contact Phone: (315) 268-6683 CLIA #: 33D2219718
PFI: D621 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Clemency, D.O. Phone: (716) 627-3400 Fax: (716) 627-4480 Address: 2005 Lake View Rd, Lake View, NY 14085 County: Erie Country: United States Single or Primary Contact: Christopher Zemrac Contact Phone: (716) 864-0997 CLIA #: 33D2218456
PFI: D623 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ilan Zeder, M.D. Phone: (845) 985-2331 Fax: Address: 499 Main St, Grahamsville, NY 12740 County: Sullivan Country: United States Single or Primary Contact: Sean Lewis Contact Phone: (845) 326-2417 CLIA #: 33D2219724
PFI: D626 Secondary Site ID: 0000 Certification Type: WAIVER Director: Leonard S Franco, M.D. Phone: (716) 791-4411 Fax: (716) 791-4399 Address: 2521 Youngstown-Lockport Rd, Ransomville, NY 14131 County: Niagara Country: United States Single or Primary Contact: Thomas Lisman Contact Phone: (716) 534-4036 CLIA #: 33D2219192
PFI: D658 Secondary Site ID: 0001 Certification Type: WAIVER Director: Christopher Buff, D.O. Phone: (518) 654-2960 Fax: (518) 654-6235 Address: 356 Center St, Corinth, NY 12822 County: Saratoga Country: United States Single or Primary Contact: Deb O'Reilly Contact Phone: CLIA #: 33D2219194
PFI: D658 Secondary Site ID: 0000 Certification Type: WAIVER Director: Christopher Buff, D.O. Phone: (518) 654-9005 Fax: (518) 654-7204 Address: 105 Oak St, Corinth, NY 12822 County: Saratoga Country: United States Single or Primary Contact: Deb O'Reilly Contact Phone: (518) 654-9005 CLIA #: 33D2219194
PFI: D662 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gregory I Mazarin, M.D. Phone: (845) 756-4040 Fax: Address: 1558 County Rte 19, Elizaville, NY 12523 County: Columbia Country: United States Single or Primary Contact: David Fleischner Contact Phone: (845) 756-4040 CLIA #: 33D2219225
PFI: D668 Secondary Site ID: 0000 Certification Type: WAIVER Director: Stephen M Mastrianni, D.O. Phone: (718) 554-8700 Fax: (718) 554-8707 Address: 110 Meisner Ave, Staten Island, NY 10306 County: Richmond Country: United States Single or Primary Contact: Ms. Kristen Ortado Contact Phone: (718) 554-8701 CLIA #: 33D2263434