New York State Department of Health, Wadsworth Center
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Weill Cornell Medicine
PFI: G974 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jonathan W Weinsaft, M.D. Phone: (212) 746-3428 Fax: (212) 746-2448 Address: 520 E 70th St - Starr 4, New York, NY 10021 County: New York Country: United States Single or Primary Contact: Dolores Reynolds Contact Phone: (212) 746-4617 CLIA #: 33D2309798
PFI: G975 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael T Mangione, M.D. Phone: (716) 818-1666 Fax: Address: 514 Harlem Rd, West Seneca, NY 14224 County: Erie Country: United States Single or Primary Contact: John M Rusinski Contact Phone: (716) 818-1666 CLIA #: 33D2309799
PFI: G976 Secondary Site ID: 0000 Certification Type: PPMP Director: Eric G Gayle, M.D. Phone: (845) 546-8410 Fax: Address: 141 W 108th St, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Patricia Engelhardt Contact Phone: (845) 546-8410 CLIA #: 33D2309801
PFI: G977 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jeremy T Cushman, M.D. Phone: (585) 293-3770 Fax: Address: 24 Washington St, Churchville, NY 14428 County: Monroe Country: United States Single or Primary Contact: Charles Tytler Contact Phone: (585) 236-3989 CLIA #: 33D2310776
PFI: G979 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rakel M Astorga, M.D. Phone: (518) 828-8514 Fax: (518) 697-3353 Address: 23 Fish and Game Rd, Hudson, NY 12534 County: Columbia Country: United States Single or Primary Contact: Arlene Walch Contact Phone: (518) 935-8849 CLIA #: 33D2310778
PFI: G980 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 265-2302 Fax: (212) 265-3908 Address: 4 Columbus Circle, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2310720
PFI: G983 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (212) 529-7140 Fax: (212) 529-7145 Address: 125-133 3rd Ave, New York, NY 10003 County: New York Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2310723
PFI: G984 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Walters, D.O. Phone: (716) 287-2168 Fax: Address: 769 W Main St, Ellington, NY 14732 County: Chautauqua Country: United States Single or Primary Contact: Elizabeth Dickerson Contact Phone: (716) 720-8231 CLIA #: 33D2311576
PFI: G992 Secondary Site ID: 0000 Certification Type: WAIVER Director: Harry E Capone, M.D. Phone: (315) 606-2601 Fax: (315) 606-2772 Address: 301 Genesee St - Suite A, Oneida, NY 13421 County: Madison Country: United States Single or Primary Contact: Erica Douglass Contact Phone: (315) 361-2020 CLIA #: 33D2310780
PFI: G993 Secondary Site ID: 0000 Certification Type: WAIVER Director: Anthony L Vassallo, M.D. Phone: (718) 975-0600 Fax: (718) 266-4343 Address: 2699 Richmond Terrace, Staten Island, NY 10303 County: Richmond Country: United States Single or Primary Contact: Michael Sherman Contact Phone: (718) 975-0600 CLIA #: 33D2311362
PFI: G995 Secondary Site ID: 0000 Certification Type: WAIVER Director: Haran N Ratna, M.D. Phone: (516) 432-2004 Fax: (516) 544-2356 Address: 106 E Broadwalk, Long Beach, NY 11561 County: Nassau Country: United States Single or Primary Contact: Gary Vasquez Contact Phone: (917) 945-9731 CLIA #: 33D2312005
PFI: G998 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel A Wolf, D.O. Phone: (845) 355-5700 Fax: (845) 355-5752 Address: 1906 NY Rte 284, Slate Hill, NY 10973 County: Orange Country: United States Single or Primary Contact: Michael Bigg Contact Phone: (845) 629-6958 CLIA #: 33D2311309
PFI: G999 Secondary Site ID: 0000 Certification Type: WAIVER Director: Siva K Kolupoti, M.D. Phone: (631) 216-9242 Fax: (631) 216-9243 Address: 140 Belle Meade Rd - Suite J, East Setauket, NY 11733 County: Suffolk Country: United States Single or Primary Contact: Isabella Scarpa Contact Phone: (631) 297-8889 CLIA #: 33D2310782