New York State Department of Health, Wadsworth Center
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Union College Wicker Wellness Center
PFI: L968 Secondary Site ID: 0000 Certification Type: PPMP Director: Susan L. Manchester, N.P. Phone: (518) 388-6120 Fax: (518) 388-6147 Address: 807 Union St, Schenectady, NY 12308 County: Schenectady Country: United States Single or Primary Contact: Jessica Burns Contact Phone: (518) 388-6120 CLIA #: 33D0870628
PFI: L987 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kara C. Kort, M.D. Phone: (315) 329-2500 Fax: (315) 744-1944 Address: 4000 Medical Center Dr, Ste 208, Fayetteville, NY 13066 County: Onondaga Country: United States Single or Primary Contact: Gretchen Toolan Contact Phone: (315) 329-2500 CLIA #: 33D0955535
PFI: L992 Secondary Site ID: 0001 Certification Type: WAIVER Director: Elizabeth F. Plocharczyk, M.D. Phone: (607) 535-6080 Fax: (607) 535-9613 Address: 401 W Main St - Suite 130, Montour Falls, NY 14865 County: Schuyler Country: United States Single or Primary Contact: Stephen Rapp Contact Phone: (607) 274-4474 CLIA #: 33D0914101
PFI: L992 Secondary Site ID: 0000 Certification Type: WAIVER Director: Elizabeth F. Plocharczyk, M.D. Phone: (607) 869-2541 Fax: (607) 869-3001 Address: 2138 W Seneca St, Ovid, NY 14521 County: Seneca Country: United States Single or Primary Contact: Stephen Rapp Contact Phone: (607) 274-4474 CLIA #: 33D0914101
PFI: L996 Secondary Site ID: 0000 Certification Type: WAIVER Director: Neil A Pasco, M.D. Phone: (212) 924-2510 Fax: (212) 812-3800 Address: 160 W 26th St, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Neil Pasco Contact Phone: (212) 812-3749 CLIA #: 33D0954343
PFI: M006 Secondary Site ID: 0000 Certification Type: WAIVER Director: Donna Willenbrock, N.P. Phone: (516) 463-6745 Fax: (516) 463-5161 Address: 250 Wellness and Campus Living Ctr, Hempstead, NY 11549 County: Nassau Country: United States Single or Primary Contact: Robert Stahl Contact Phone: (516) 463-6745 CLIA #: 33D0954337
PFI: M009 Secondary Site ID: 0000 Certification Type: WAIVER Director: Abiola O Familusi, M.D. Phone: (646) 505-3500 Fax: (212) 873-0658 Address: 150 Riverside Dr, New York, NY 10024 County: New York Country: United States Single or Primary Contact: Dan Muskin Contact Phone: (646) 505-3500 CLIA #: 33D0132108
PFI: M011 Secondary Site ID: 0000 Certification Type: WAIVER Director: David Schulsinger, M.D. Phone: (631) 444-6280 Fax: (631) 444-6552 Address: 4 Smith Haven Mall - Ste 110, Lake Grove, NY 11755 County: Suffolk Country: United States Single or Primary Contact: Anne Klassert Contact Phone: (631) 444-1205 CLIA #: 33D0954449
PFI: M017 Secondary Site ID: 0000 Certification Type: WAIVER Director: Adam R Stracher, M.D. Phone: (646) 962-7800 Fax: (646) 962-0415 Address: 12 West 72nd St, New York, NY 10023 County: New York Country: United States Single or Primary Contact: Haziza Vukovic Contact Phone: (646) 962-7321 CLIA #: 33D0865160
PFI: M019 Secondary Site ID: 0001 Certification Type: PPMP Director: Howard R. Sussman, M.D. Phone: (631) 638-1750 Fax: (631) 638-1761 Address: 285 Sills Road - Bldg 12 - Suite C, East Patchogue, NY 11772 County: Suffolk Country: United States Single or Primary Contact: Elizabeth Seaman Contact Phone: (631) 444-2198 CLIA #: 33D0718507
PFI: M019 Secondary Site ID: 0002 Certification Type: PPMP Director: Howard R. Sussman, M.D. Phone: (631) 444-2329 Fax: (631) 444-7552 Address: 60 Adams Avenue, Hauppauge, NY 11788 County: Suffolk Country: United States Single or Primary Contact: Elizabeth Seaman Contact Phone: (631) 444-2329 CLIA #: 33D0718507
PFI: M019 Secondary Site ID: 0003 Certification Type: PPMP Director: Howard R. Sussman, M.D. Phone: (631) 444-2329 Fax: (631) 444-7552 Address: 1444 Fifth Avenue, Bay Shore, NY 11706 County: Suffolk Country: United States Single or Primary Contact: Elizabeth Seaman Contact Phone: (631) 444-2329 CLIA #: 33D0718507