New York State Department of Health, Wadsworth Center
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The Ryan Clinic at Convent Avenue Family Living Center
PFI: M338 Secondary Site ID: 0001 Certification Type: WAIVER Director: Rashanna D Lynch, M.D. Phone: (212) 666-4008 Fax: (212) 712-2623 Address: 22 Covent Ave Unit 1B, New York, NY 10027 County: New York Country: United States Single or Primary Contact: Charles Shorter Contact Phone: (212) 222-5293 CLIA #: 33D0960587
PFI: M338 Secondary Site ID: 0003 Certification Type: WAIVER Director: Rashanna D Lynch, M.D. Phone: 21266330001310 Fax: (212) 749-1426 Address: 248 W 108th St, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Charles Shorter Contact Phone: (212) 222-5293 CLIA #: 33D0960587
PFI: M338 Secondary Site ID: 0006 Certification Type: WAIVER Director: Rashanna D Lynch, M.D. Phone: (212) 316-7986 Fax: (212) 234-5642 Address: 138 West 143rd Street, New York, NY 10030 County: New York Country: United States Single or Primary Contact: Charles Shorter Contact Phone: (212) 222-5293 CLIA #: 33D0960587
William F Ryan Frederick Douglass Community Health Center
PFI: M338 Secondary Site ID: 0007 Certification Type: WAIVER Director: Rashanna D Lynch, M.D. Phone: (212) 866-4400 Fax: (646) 652-8587 Address: 2381 Frederick Douglas Blvd, New York, NY 10027 County: New York Country: United States Single or Primary Contact: Charles Shorter Contact Phone: (212) 225-5293 CLIA #: 33D0960587
PFI: M338 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rashanna D Lynch, M.D. Phone: (212) 222-5221 Fax: (212) 222-8052 Address: 565 Manhattan Avenue, New York, NY 10027 County: New York Country: United States Single or Primary Contact: Charles Shorter Contact Phone: (212) 222-5293 CLIA #: 33D0960587
Benjamin Banneker Academy School Based Health Center
PFI: M344 Secondary Site ID: 0001 Certification Type: WAIVER Director: Pascale Kersaint, M.D. Phone: (718) 834-2981 Fax: (718) 834-4782 Address: 77 Clinton Ave, Brooklyn, NY 11205 County: Kings Country: United States Single or Primary Contact: Donna Hayes Contact Phone: 7185969800227 CLIA #: 33D0874302
PFI: M344 Secondary Site ID: 0000 Certification Type: WAIVER Director: Pascale Kersaint, M.D. Phone: (718) 596-9800 Fax: (718) 596-9889 Address: 1089 President St, Brooklyn, NY 11225 County: Kings Country: United States Single or Primary Contact: Donna Hayes Contact Phone: (718) 596-9800 CLIA #: 33D0874302
PFI: M346 Secondary Site ID: 0000 Certification Type: WAIVER Director: Neil D Jaglall, M.D. Phone: (718) 670-0700 Fax: (718) 670-0726 Address: 33-23 Union St, Flushing, NY 11354 County: Queens Country: United States Single or Primary Contact: Deborah Luongo Contact Phone: (718) 670-0721 CLIA #: 33D0960589
PFI: M348 Secondary Site ID: 0023 Certification Type: PPMP Director: Michael R Zur, M.D. Phone: (607) 798-5432 Fax: (607) 352-1736 Address: 27 Jennison Ave, Johnson City, NY 13790 County: Broome Country: United States Single or Primary Contact: Melissa Ford Contact Phone: (607) 798-5491 CLIA #: 33D0960594
PFI: M348 Secondary Site ID: 0022 Certification Type: PPMP Director: Michael R Zur, M.D. Phone: (607) 798-5510 Fax: (607) 798-5511 Address: 501 Reynolds Rd - 2nd Fl, Johnson City, NY 13790 County: Broome Country: United States Single or Primary Contact: Melissa Ford Contact Phone: (607) 798-5491 CLIA #: 33D0960594
PFI: M348 Secondary Site ID: 0020 Certification Type: PPMP Director: Michael R Zur, M.D. Phone: (607) 251-2300 Fax: (607) 251-2314 Address: 20-24 S Washington St, Binghamton, NY 13903 County: Broome Country: United States Single or Primary Contact: Melissa Ford Contact Phone: (607) 798-5491 CLIA #: 33D0960594
PFI: M348 Secondary Site ID: 0009 Certification Type: PPMP Director: Michael R Zur, M.D. Phone: (607) 754-5342 Fax: (607) 754-5508 Address: 3101 Shippers Road, Vestal, NY 13850 County: Broome Country: United States Single or Primary Contact: Melissa Ford Contact Phone: (607) 798-5491 CLIA #: 33D0960594
PFI: M348 Secondary Site ID: 0019 Certification Type: PPMP Director: Michael R Zur, M.D. Phone: (607) 251-2170 Fax: (607) 251-2012 Address: 320 N Jensen Rd - Suite 11, Vestal, NY 13850 County: Broome Country: United States Single or Primary Contact: Melissa Ford Contact Phone: (607) 798-5491 CLIA #: 33D0960594
PFI: M348 Secondary Site ID: 0017 Certification Type: PPMP Director: Michael R Zur, M.D. Phone: (607) 798-6176 Fax: (607) 798-6755 Address: 105 Ridgehaven Drive, Vestal, NY 13850 County: Broome Country: United States Single or Primary Contact: Melissa Ford Contact Phone: (607) 798-5491 CLIA #: 33D0960594
PFI: M348 Secondary Site ID: 0015 Certification Type: PPMP Director: Michael R Zur, M.D. Phone: (607) 772-1598 Fax: Address: 4102 Old Vestal Road, Vestal, NY 13850 County: Broome Country: United States Single or Primary Contact: Melissa Ford Contact Phone: (607) 798-5491 CLIA #: 33D0960594
PFI: M348 Secondary Site ID: 0013 Certification Type: PPMP Director: Michael R Zur, M.D. Phone: (607) 637-5700 Fax: (607) 637-5703 Address: 39 East Main Street, Hancock, NY 13783 County: Delaware Country: United States Single or Primary Contact: Melissa Ford Contact Phone: (607) 798-5491 CLIA #: 33D0960594