New York State Department of Health, Wadsworth Center
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Angie Kiwon Wu Family Health NP PLLC
PFI: G798 Secondary Site ID: 0000 Certification Type: WAIVER Director: Angie K Wu, N.P. Phone: (410) 963-1436 Fax: Address: 211 E 43 St - Suite 718, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2302060
PFI: G799 Secondary Site ID: 0000 Certification Type: WAIVER Director: Leesa M Galatz, M.D. Phone: (973) 713-2090 Fax: Address: 787 11th Ave - 6th Fl, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Randy Hagen Contact Phone: (973) 713-2090 CLIA #: 33D2302063
PFI: G800 Secondary Site ID: 0000 Certification Type: WAIVER Director: Keith A. Nichols, M.D. Phone: (607) 699-3810 Fax: (607) 644-0174 Address: 106 W River Rd, Nichols, NY 13812 County: Tioga Country: United States Single or Primary Contact: Sheldon Cammer Contact Phone: (607) 348-3153 CLIA #: 33D2302066
PFI: G801 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael J Ameres, M.D. Phone: (631) 668-5695 Fax: (631) 668-4112 Address: 12 Flamingo Ave, Montauk, NY 11954 County: Suffolk Country: United States Single or Primary Contact: Dawn E Lucas Contact Phone: (631) 668-5695 CLIA #: 33D2302070
PFI: G802 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian L Africa, M.D. Phone: (615) 628-9368 Fax: Address: 111 8th Ave - Suite 810, New York, NY 10011 County: New York Country: United States Single or Primary Contact: Vanessa Weedman Contact Phone: (615) 468-5507 CLIA #: 33D2302074
PFI: G803 Secondary Site ID: 0000 Certification Type: PPMP Director: Krisczar J Bungay, M.D. Phone: (646) 987-3436 Fax: (646) 293-1441 Address: 360 W 31st St - 3rd Fl, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Gavin Berger Contact Phone: (646) 987-3436 CLIA #: 33D2302086
PFI: G806 Secondary Site ID: 0000 Certification Type: PPMP Director: Stephen Alkins, M.D. Phone: (315) 652-6551 Fax: Address: 8324 Oswego Rd - Suite D, Liverpool, NY 13090 County: Onondaga Country: United States Single or Primary Contact: Jean Carnese Contact Phone: (315) 652-6551 CLIA #: 33D2302089
PFI: G809 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeyad Baker, M.D. Phone: (201) 596-6262 Fax: (201) 596-6299 Address: 21 West End Ave, New York, NY 10023 County: New York Country: United States Single or Primary Contact: Taina Arzuaga Contact Phone: (201) 596-6262 CLIA #: 33D2302093
PFI: G810 Secondary Site ID: 0000 Certification Type: WAIVER Director: Frederic Laporte, M.D. Phone: (518) 637-1230 Fax: Address: 68 State Rte 86, Paul Smiths, NY 12970 County: Franklin Country: United States Single or Primary Contact: Chrissy Raudonis Contact Phone: (857) 248-3880 CLIA #: 33D2302094
New York-Presbyterian-Lower Manhattan Hospital Laboratory
PFI: G811 Secondary Site ID: 0000 Certification Type: FULL/PPMP Director: Stacia A Semple, M.D. Phone: (212) 312-5380 Fax: (212) 312-5399 Address: 170 William St, New York, NY 10038 County: New York Country: United States Single or Primary Contact: Trevona Gonsalves Contact Phone: (212) 312-5325 CLIA #: 33D0133991
PFI: G812 Secondary Site ID: 0000 Certification Type: WAIVER Director: Eric G Gayle, M.D. Phone: (845) 546-8410 Fax: Address: 1818 Madison Ave, New York, NY 10035 County: New York Country: United States Single or Primary Contact: Patricia Engelhardt Contact Phone: (845) 546-8410 CLIA #: 33D2300873
PFI: G813 Secondary Site ID: 0001 Certification Type: WAIVER Director: Elizabeth L Linkenheil, D.O. Phone: (607) 590-1597 Fax: Address: 7333 County Rte 100, Addison, NY 14801 County: Steuben Country: United States Single or Primary Contact: Samuel Hollister Contact Phone: (607) 590-1597 CLIA #: 33D2302834
PFI: G813 Secondary Site ID: 0000 Certification Type: WAIVER Director: Elizabeth L Linkenheil, D.O. Phone: (607) 359-2030 Fax: (607) 359-2030 Address: 1094 Gill Rd, Addison, NY 14801 County: Steuben Country: United States Single or Primary Contact: Samuel Hollister Contact Phone: CLIA #: 33D2302834
PFI: G814 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jack W Geffken, D.O. Phone: (631) 427-0630 Fax: (631) 427-1915 Address: 1 New York Ave, Huntington, NY 11743 County: Suffolk Country: United States Single or Primary Contact: Cody Carberry Contact Phone: (631) 427-0630 CLIA #: 33D2302098
PFI: G815 Secondary Site ID: 0000 Certification Type: WAIVER Director: Aymen H Rashid, M.D. Phone: (315) 917-8203 Fax: (315) 234-3989 Address: 601 State St, Utica, NY 13502 County: Oneida Country: United States Single or Primary Contact: Carmen Wilson Contact Phone: (425) 218-8723 CLIA #: 33D2302099
PFI: G817 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter L Sosnow, M.D. Phone: (607) 652-7241 Fax: Address: 111 Main St, Stamford, NY 12167 County: Delaware Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2304461