New York State Department of Health, Wadsworth Center
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North Country Family Health Center at North Elementary School
PFI: L732 Secondary Site ID: 0002 Certification Type: WAIVER Director: Jana Shaw, M.D. Phone: (315) 786-1767 Fax: (315) 786-1856 Address: 171 E Hoard St, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Barbara Fargo Contact Phone: (315) 786-1767 CLIA #: 33D0167550
North Country Family Health Center at Watertown High School
PFI: L732 Secondary Site ID: 0001 Certification Type: WAIVER Director: Jana Shaw, M.D. Phone: (315) 785-3703 Fax: (315) 785-3807 Address: 1335 Washington St, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Barbara Fargo Contact Phone: (315) 785-3703 CLIA #: 33D0167550
PFI: L740 Secondary Site ID: 0000 Certification Type: WAIVER Director: Timothy J. Ryan, M.D. Phone: (315) 539-1920 Fax: (315) 539-9493 Address: 2465 Bonadent Ave - Suite 3, Waterloo, NY 13165 County: Seneca Country: United States Single or Primary Contact: Scott King Contact Phone: (315) 539-1951 CLIA #: 33D0948228
PFI: L741 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kim Petrone, M.D. Phone: (585) 697-6000 Fax: (585) 342-9166 Address: 1500 Portland Ave, Rochester, NY 14621 County: Monroe Country: United States Single or Primary Contact: Eve Scofield Contact Phone: (585) 697-6411 CLIA #: 33D0173513
PFI: L741 Secondary Site ID: 0002 Certification Type: WAIVER Director: Kim Petrone, M.D. Phone: (585) 450-8086 Fax: Address: 4250 Culver Rd, Rochester, NY 14622 County: Monroe Country: United States Single or Primary Contact: Eve Scofield Contact Phone: (585) 697-6411 CLIA #: 33D0173513
PFI: L751 Secondary Site ID: 0037 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 638-5402 Fax: (607) 638-5205 Address: 159 Main Street, Schenevus, NY 12155 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0038 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 286-7909 Fax: (607) 286-3307 Address: 42 W Main Street, Milford, NY 13807 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0039 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (518) 827-3793 Fax: (518) 827-5419 Address: 245-1 Main Street, Middleburgh, NY 12122 County: Schoharie Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0040 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 674-8417 Fax: (607) 674-8403 Address: 15 School Street, Sherburne, NY 13460 County: Chenango Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0046 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 547-7646 Fax: (607) 547-7650 Address: 4580 State Hwy 28, Milford, NY 13807 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0047 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 847-6050 Fax: (607) 847-7519 Address: 4238 State Highway 8, New Berlin, NY 13411 County: Chenango Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0049 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (845) 676-3663 Fax: (845) 676-3665 Address: 245 Lower Main Street, Andes, NY 13731 County: Delaware Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0051 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 431-1015 Fax: (607) 431-1050 Address: 739 State Highway 28, Oneonta, NY 13820 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0052 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 433-1790 Fax: (607) 433-6520 Address: 125 Main Street, Oneonta, NY 13820 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0053 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (315) 825-3111 Fax: (315) 825-3017 Address: 1055 Madison Market Pl PO Box 629, Hamilton, NY 13346 County: Madison Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0054 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 875-4334 Fax: (866) 603-9093 Address: 29 N Chenango Street, Greene, NY 13778 County: Chenango Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0055 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (315) 858-0610 Fax: (315) 858-0479 Address: 93 Main Street, Richfield Springs, NY 13439 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114