New York State Department of Health, Wadsworth Center
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Bassett Healthcare Delanson
PFI: L751 Secondary Site ID: 0022 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (518) 895-2000 Fax: (518) 895-2624 Address: One Cooley Heights, Delanson, NY 12053 County: Schenectady Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0023 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 538-1932 Fax: (607) 538-1932 Address: 58200 State Rte 10, South Kortright, NY 13842 County: Delaware Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0024 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 547-3502 Fax: (607) 547-3203 Address: 13 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: 0026 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 561-2021 Fax: (607) 563-2663 Address: 39 Pearl Street, Sidney, NY 13838 County: Delaware Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0029 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 397-1013 Fax: (607) 397-1014 Address: 198 Main St., Worcester, NY 12197 County: Otsego Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0030 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (518) 827-3793 Fax: (518) 827-5419 Address: 291 Main St, Middleburgh, NY 12122 County: Schoharie Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L751 Secondary Site ID: 0034 Certification Type: PPMP Director: Timothy D. Chapman, M.D. Phone: (607) 652-2065 Fax: (607) 652-5681 Address: 1 River Street, Stamford, NY 12167 County: Delaware Country: United States Single or Primary Contact: Ullas Joseph Contact Phone: CLIA #: 33D0168114
PFI: L801 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter A. Kouides, M.D. Phone: (585) 922-5700 Fax: (585) 922-5775 Address: 1415 Portland Ave - Suite 500, Rochester, NY 14621 County: Monroe Country: United States Single or Primary Contact: Eric Iglewski Contact Phone: (585) 922-5700 CLIA #: 33D0705405
PFI: L812 Secondary Site ID: 0000 Certification Type: WAIVER Director: Won G Chung, M.D. Phone: (212) 640-2346 Fax: (212) 640-1091 Address: 200 Vesey St, New York, NY 10285-3805 County: New York Country: United States Single or Primary Contact: Karen DiProfio Contact Phone: (212) 640-2346 CLIA #: 33D0680447
Thurgood Marshall Academy-Ambulatory Care Network Practice
PFI: L813 Secondary Site ID: 0013 Certification Type: PPMP Director: Eldad A. Hod, M.D. Phone: (646) 317-0800 Fax: (646) 317-5046 Address: 200 W 135th St - Rm C0007, New York, NY 10030 County: New York Country: United States Single or Primary Contact: Naomi M Ramdin Contact Phone: (347) 978-1785 CLIA #: 33D0950454
PFI: L813 Secondary Site ID: 0000 Certification Type: PPMP Director: Eldad A. Hod, M.D. Phone: (212) 305-6192 Fax: (212) 305-7811 Address: 21 Audubon Ave, New York, NY 10032 County: New York Country: United States Single or Primary Contact: Naomi M Ramdin Contact Phone: (212) 342-3231 CLIA #: 33D0950454