New York State Department of Health, Wadsworth Center
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Walgreens No. 10591
PFI: D707 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (518) 483-9090 Fax: (518) 483-9096 Address: 305 W Main St, Malone, NY 12953 County: Franklin Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2219751
PFI: D708 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (315) 785-1088 Fax: (315) 785-1991 Address: 1655 State St, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2219753
PFI: D712 Secondary Site ID: 0000 Certification Type: WAIVER Director: Frederick Kaskel, M.D. Phone: (845) 985-2291 Fax: (845) 985-0059 Address: 2000 Frost Valley Rd, Claryville, NY 12725 County: Ulster Country: United States Single or Primary Contact: Emma Tennant Contact Phone: (845) 985-2291 CLIA #: 33D2219760
PFI: D720 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rebecca S Bednarek, N.P. Phone: (518) 251-2322 Fax: Address: 7791A NYS Rte 28, Indian Lake, NY 12842 County: Hamilton Country: United States Single or Primary Contact: Christopher Studley Contact Phone: (609) 468-4742 CLIA #: 33D2220721
PFI: D721 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joshua Lynch, D.O. Phone: (716) 308-6649 Fax: Address: 9385 Martin Rd, Clarence Center, NY 14032 County: Erie Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2236172
PFI: D725 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ghazanfar W Haidery, M.D. Phone: (516) 624-0600 Fax: (516) 624-0772 Address: 150 South St, Oyster Bay, NY 11771 County: Nassau Country: United States Single or Primary Contact: Krystal Ross Contact Phone: (516) 624-0600 CLIA #: 33D2221111
PFI: D728 Secondary Site ID: 0000 Certification Type: WAIVER Director: Salman N Khan, M.D. Phone: (585) 978-8889 Fax: (585) 510-7334 Address: 400 YMCA Way, Penfield, NY 14526 County: Monroe Country: United States Single or Primary Contact: James Marotta Contact Phone: (585) 978-8889 CLIA #: 33D2223380
PFI: D862 Secondary Site ID: 0000 Certification Type: WAIVER Director: Thomas A Gahl, M.D. Phone: (212) 803-5525 Fax: (212) 504-3295 Address: 200 Liberty St - 31st Fl, New York, NY 10281 County: New York Country: United States Single or Primary Contact: Vanessa Weedman Contact Phone: (615) 468-5507 CLIA #: 33D2221938