New York State Department of Health, Wadsworth Center
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Evergreen Health Services Inc
PFI: L963 Secondary Site ID: 0007 Certification Type: WAIVER Director: Fatai A. Gbadamosi, M.D. Phone: (716) 847-2441 Fax: (716) 847-2715 Address: 7 Community Dr - Suite A, Cheektowaga, NY 14225 County: Erie Country: United States Single or Primary Contact: Joelle Toal Contact Phone: (716) 847-2441 CLIA #: 33D0953352
PFI: L966 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lewis Anreder, M.D. Phone: (631) 288-0101 Fax: (631) 898-0576 Address: 78 Old Country Rd, Westhampton, NY 11977 County: Suffolk Country: United States Single or Primary Contact: Patrick Hooper Contact Phone: (631) 288-0101 CLIA #: 33D0899773
PFI: L968 Secondary Site ID: 0000 Certification Type: PPMP Director: Susan L. Manchester, N.P. Phone: (518) 388-6120 Fax: (518) 388-6147 Address: 807 Union Street, Schenectady, NY 12308 County: Schenectady Country: United States Single or Primary Contact: Jessica Burns Contact Phone: (518) 388-6120 CLIA #: 33D0870628
PFI: L971 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel R Kuhles, M.D. Phone: (518) 584-7460 Fax: (518) 583-1202 Address: 6012 County Farm Road, Ballston Spa, NY 12020 County: Saratoga Country: United States Single or Primary Contact: Mary Myers Contact Phone: (518) 584-7460 CLIA #: 33D0654487
PFI: L987 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kara C. Kort, M.D. Phone: (315) 329-2500 Fax: (315) 744-1944 Address: 4000 Medical Center Dr, Ste 203, Fayetteville, NY 13066 County: Onondaga Country: United States Single or Primary Contact: Gretchen Toolan Contact Phone: (315) 329-2500 CLIA #: 33D0955535
PFI: L992 Secondary Site ID: 0001 Certification Type: WAIVER Director: Elizabeth F. Plocharczyk, M.D. Phone: (607) 535-6080 Fax: (607) 535-9613 Address: 401 W Main St - Suite 130, Montour Falls, NY 14865 County: Schuyler Country: United States Single or Primary Contact: Stephen Rapp Contact Phone: (607) 274-4474 CLIA #: 33D0914101
PFI: L992 Secondary Site ID: 0000 Certification Type: WAIVER Director: Elizabeth F. Plocharczyk, M.D. Phone: (607) 869-2541 Fax: (607) 869-3001 Address: 2138 W Seneca St, Ovid, NY 14521 County: Seneca Country: United States Single or Primary Contact: Stephen Rapp Contact Phone: (607) 274-4474 CLIA #: 33D0914101
PFI: L996 Secondary Site ID: 0000 Certification Type: WAIVER Director: Neil A Pasco, M.D. Phone: (212) 924-2510 Fax: (212) 812-3800 Address: 160 West 26th Street, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Neil Pasco Contact Phone: (212) 812-3749 CLIA #: 33D0954343
PFI: M006 Secondary Site ID: 0000 Certification Type: WAIVER Director: Donna Willenbrock, N.P. Phone: (516) 463-6745 Fax: (516) 463-5161 Address: 250 Wellness and Campus Living Ctr, Hempstead, NY 11549 County: Nassau Country: United States Single or Primary Contact: Robert Stahl Contact Phone: (516) 463-6745 CLIA #: 33D0954337
PFI: M009 Secondary Site ID: 0000 Certification Type: WAIVER Director: Abiola Familusi, M.D. Phone: (646) 505-3500 Fax: (212) 873-0658 Address: 150 Riverside Dr, New York, NY 10024 County: New York Country: United States Single or Primary Contact: Dan Muskin Contact Phone: (646) 505-3500 CLIA #: 33D0132108
Starlight Pediatrics of The Monroe County Dept of Public Health
PFI: M010 Secondary Site ID: 0000 Certification Type: WAIVER Director: Marielena Velez de Brown, M.D. Phone: (585) 753-5927 Fax: (585) 753-1783 Address: 451 E Henrietta Rd - 2nd Floor, Rochester, NY 14620 County: Monroe Country: United States Single or Primary Contact: Kristen Marrese Contact Phone: (585) 753-5172 CLIA #: 33D0860151
PFI: M011 Secondary Site ID: 0000 Certification Type: WAIVER Director: David Schulsinger, M.D. Phone: (631) 444-6280 Fax: (631) 444-6552 Address: 24 Research Way - 500, East Setauket, NY 11733 County: Suffolk Country: United States Single or Primary Contact: Anne Klassert Contact Phone: (631) 444-1205 CLIA #: 33D0954449