PFI: L210 Secondary Site ID: 0000 Certification Type: WAIVER Director: William Wind, M.D. Phone: (716) 568-6100 Fax: (716) 568-6166 Address: 215 Klein Rd, Williamsville, NY 14221 County: Erie Country: United States Single or Primary Contact: Mark M Mineo Contact Phone: (716) 568-6100 CLIA #: 33D0863251
PFI: L211 Secondary Site ID: 0000 Certification Type: WAIVER Director: Paul E Shields, D.O. Phone: (716) 630-8000 Fax: (716) 630-8660 Address: 650 Airborne Parkway, Cheektowaga, NY 14225 County: Erie Country: United States Single or Primary Contact: Lisa Buckley Contact Phone: (716) 630-8000 CLIA #: 33D0887635
PFI: L221 Secondary Site ID: 0000 Certification Type: PPMP Director: Ann Marie Zimmermann, M.D. Phone: (716) 375-7500 Fax: (716) 701-6888 Address: 132 W Main Street, Cuba, NY 14727 County: Allegany Country: United States Single or Primary Contact: Alicia Sipko Contact Phone: (716) 701-6849 CLIA #: 33D0691139
PFI: L226 Secondary Site ID: 0000 Certification Type: WAIVER Director: Yashuda Gurung, M.D. Phone: (518) 434-2526 Fax: (518) 434-2595 Address: 53 Columbia St, Rensselaer, NY 12144 County: Rensselaer Country: United States Single or Primary Contact: Jennifer Potter Contact Phone: (518) 434-2526 CLIA #: 33D0911529
PFI: L230 Secondary Site ID: 0001 Certification Type: PPMP Director: Yashuda Gurung, M.D. Phone: (518) 464-9999 Fax: (518) 464-9650 Address: 1 Pine West Plaza - Suite 101, Albany, NY 12205 County: Albany Country: United States Single or Primary Contact: Johnna Carter Contact Phone: (518) 464-9999 CLIA #: 33D0889369
PFI: L230 Secondary Site ID: 0000 Certification Type: PPMP Director: Yashuda Gurung, M.D. Phone: (518) 449-0100 Fax: (518) 463-8580 Address: 326 South Pearl St, Albany, NY 12202 County: Albany Country: United States Single or Primary Contact: Johnna Carter Contact Phone: (518) 449-0155 CLIA #: 33D0889369
PFI: L236 Secondary Site ID: 0001 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 798-8317 Fax: (315) 734-3411 Address: 2212 Genesee St, Utica, NY 13502 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 801-4419 CLIA #: 33D0715378
PFI: L236 Secondary Site ID: 0011 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 738-7186 Fax: (315) 734-3150 Address: 1256 Culver Ave, Utica, NY 13501 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 801-4419 CLIA #: 33D0715378
PFI: L236 Secondary Site ID: 0012 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 823-1113 Fax: (315) 823-1295 Address: 500 E Main St, Little Falls, NY 13365 County: Herkimer Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 801-4419 CLIA #: 33D0715378
PFI: L236 Secondary Site ID: 0014 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 798-8345 Fax: (315) 624-7699 Address: 4401 Middlesettlement Road, New Hartford, NY 13413 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 801-4419 CLIA #: 33D0715378
St Elizabeth Medical Group Town of Webb Health Care Center
PFI: L236 Secondary Site ID: 0015 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 369-6619 Fax: (315) 369-6533 Address: 114 South Shore Road, Old Forge, NY 13420 County: Herkimer Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 801-4419 CLIA #: 33D0715378
St Elizabeth Medical Center - Immune Health and Prevention
PFI: L236 Secondary Site ID: 0016 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 624-3666 Fax: (315) 801-8666 Address: 6 Hampden Place, Utica, NY 13502 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 801-4419 CLIA #: 33D0715378
PFI: L236 Secondary Site ID: 0000 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 798-1149 Fax: (315) 801-3579 Address: 120 Hobart St, Utica, NY 13501 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 734-4419 CLIA #: 33D0715378
PFI: L246 Secondary Site ID: 0000 Certification Type: PPMP Director: Darci A Beiras, M.D. Phone: (518) 359-7000 Fax: (518) 359-8243 Address: 7 Stetson Road, Tupper Lake, NY 12986 County: Franklin Country: United States Single or Primary Contact: Laura Stender Contact Phone: (518) 897-2318 CLIA #: 33D1023171
PFI: L246 Secondary Site ID: 0006 Certification Type: PPMP Director: Darci A Beiras, M.D. Phone: (518) 523-1717 Fax: (518) 523-8340 Address: 203 Old MIlitary Rd, Lake Placid, NY 12946 County: Essex Country: United States Single or Primary Contact: Laura Stender Contact Phone: (518) 897-2318 CLIA #: 33D1023171