New York State Department of Health, Wadsworth Center
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Mount Sinai Doctors - Victory Internal Medicine
PFI: H011 Secondary Site ID: 0000 Certification Type: WAIVER Director: Louis M Emmer, M.D. Phone: (718) 477-6900 Fax: (718) 477-7862 Address: 1441 South Ave - 1st Fl, Staten Island, NY 10314 County: Richmond Country: United States Single or Primary Contact: Rosemarie Signorile Contact Phone: (917) 829-2679 CLIA #: 33D2311314
PFI: H012 Secondary Site ID: 0000 Certification Type: WAIVER Director: Benjamin J Saks, M.D. Phone: (607) 594-2157 Fax: Address: 300 E Main St, Odessa, NY 14869 County: Schuyler Country: United States Single or Primary Contact: Bryan Chapman Contact Phone: (607) 742-5476 CLIA #: 33D2311315
PFI: H019 Secondary Site ID: 0000 Certification Type: WAIVER Director: James L Nuendorf, M.D. Phone: (914) 295-7200 Fax: (347) 682-5807 Address: 115 S Broadway, Yonkers, NY 10701 County: Westchester Country: United States Single or Primary Contact: Manny Brodie Contact Phone: (914) 295-7200 CLIA #: 33D2311319
Glen Cove Hospital Familty Medicine Ambulatory Care Center
PFI: H023 Secondary Site ID: 0000 Certification Type: WAIVER Director: James A. Kraus, III, M.D. Phone: (516) 674-7631 Fax: (516) 674-7649 Address: 10 Medical Plaza - Suite 301, Glen Cove, NY 11542 County: Nassau Country: United States Single or Primary Contact: Chandrawatee Ramsawak Contact Phone: (347) 443-6906 CLIA #: 33D2310968
PFI: H025 Secondary Site ID: 0000 Certification Type: WAIVER Director: Desta R Anthony, N.P. Phone: (315) 283-3435 Fax: Address: 1101 Erie Blvd East - Suite 201, Syracuse, NY 13210 County: Onondaga Country: United States Single or Primary Contact: Kristen Stebbins Contact Phone: (315) 283-3435 CLIA #: 33D2311323
PFI: H030 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael T Mangione, M.D. Phone: (716) 824-0264 Fax: Address: 4112 Big Tree Rd, Hamburg, NY 14075 County: Erie Country: United States Single or Primary Contact: David Carberry Contact Phone: (716) 807-6107 CLIA #: 33D2312013
PFI: H031 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ryan W Coates, D.O. Phone: (315) 262-2333 Fax: (315) 262-2333 Address: 80 Riverside Dr, Colton, NY 13625 County: St. Lawrence Country: United States Single or Primary Contact: Jacqueline Johnson Contact Phone: (315) 729-1348 CLIA #: 33D2311347
PFI: H037 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert H Meyer, M.D. Phone: (347) 728-1604 Fax: Address: 839 New York Ave - Lobby Level, Huntington, NY 11743 County: Suffolk Country: United States Single or Primary Contact: Raymond Miranti Contact Phone: (347) 728-1604 CLIA #: 33D2311228
NYU Langone Medical Associates - Chelsea W 25th St
PFI: H041 Secondary Site ID: 0000 Certification Type: WAIVER Director: David D. Kim, M.D. Phone: (212) 253-2968 Fax: (212) 253-2925 Address: 147 W 25th St, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Uliana Saites Contact Phone: (646) 754-4554 CLIA #: 33D0958105