New York State Department of Health, Wadsworth Center
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Wolcott Medical Center
PFI: L591 Secondary Site ID: 0013 Certification Type: WAIVER Director: Roberto L. Vargas, M.D. Phone: (315) 594-9444 Fax: (315) 594-9276 Address: 6254 Lawville Road, Wolcott, NY 14590 County: Wayne Country: United States Single or Primary Contact: Dawn Slossar Contact Phone: (585) 259-1578 CLIA #: 33D0680569
PFI: L591 Secondary Site ID: 0012 Certification Type: WAIVER Director: Roberto L. Vargas, M.D. Phone: (315) 946-6075 Fax: (315) 946-4254 Address: 12 Leach Rd, Lyons, NY 14489 County: Wayne Country: United States Single or Primary Contact: Dawn Slossar Contact Phone: (585) 259-1578 CLIA #: 33D0680569
PFI: L591 Secondary Site ID: 0007 Certification Type: WAIVER Director: Roberto L. Vargas, M.D. Phone: (315) 359-2660 Fax: (315) 359-2635 Address: 1200 Driving Park Ave, Newark, NY 14513 County: Wayne Country: United States Single or Primary Contact: Dawn Slossar Contact Phone: (585) 259-1578 CLIA #: 33D0680569
PFI: L591 Secondary Site ID: 0030 Certification Type: WAIVER Director: Roberto L. Vargas, M.D. Phone: (585) 922-2800 Fax: (585) 922-2864 Address: 2066 Hudson Ave, Rochester, NY 14617-4304 County: Monroe Country: United States Single or Primary Contact: Dawn Slossar Contact Phone: (585) 313-5824 CLIA #: 33D0680569
PFI: L594 Secondary Site ID: 0000 Certification Type: PPMP Director: Alan S Boulos, M.D. Phone: (518) 432-4033 Fax: (518) 432-3225 Address: 220 Green St, Albany, NY 12202 County: Albany Country: United States Single or Primary Contact: Celeste Conte Contact Phone: (518) 262-9679 CLIA #: 33D0885790
PFI: L594 Secondary Site ID: 0013 Certification Type: PPMP Director: Alan S Boulos, M.D. Phone: (518) 264-3760 Fax: Address: 377 Church Street, Saratoga, NY 12866 County: Saratoga Country: United States Single or Primary Contact: Celeste Conte Contact Phone: (518) 262-9679 CLIA #: 33D0885790
PFI: L594 Secondary Site ID: 0012 Certification Type: PPMP Director: Alan S Boulos, M.D. Phone: (518) 409-8592 Fax: (518) 262-8839 Address: 90 South Street, Glens Falls, NY 12801 County: Warren Country: United States Single or Primary Contact: Celeste Conte Contact Phone: (518) 262-9679 CLIA #: 33D0885790
PFI: L594 Secondary Site ID: 0010 Certification Type: PPMP Director: Alan S Boulos, M.D. Phone: (518) 264-1800 Fax: Address: 220 Washington Ave, Albany, NY 12206 County: Albany Country: United States Single or Primary Contact: Celeste Conte Contact Phone: (518) 262-9679 CLIA #: 33D0885790
PFI: L594 Secondary Site ID: 0009 Certification Type: PPMP Director: Alan S Boulos, M.D. Phone: (518) 264-1200 Fax: (518) 264-1204 Address: 6 Medical Park Dr - Suite 203, Malta, NY 12020 County: Saratoga Country: United States Single or Primary Contact: Celeste Conte Contact Phone: (518) 262-9679 CLIA #: 33D0885790
PFI: L594 Secondary Site ID: 0007 Certification Type: PPMP Director: Alan S Boulos, M.D. Phone: (518) 264-1900 Fax: (518) 264-1901 Address: 453 Rte 146 - Suite 204, Clifton Park, NY 12065 County: Saratoga Country: United States Single or Primary Contact: Celeste Conte Contact Phone: (518) 262-9679 CLIA #: 33D0885790
PFI: L597 Secondary Site ID: 0014 Certification Type: PPMP Director: Yafei Wang, M.D. Phone: (607) 734-6544 Fax: (607) 734-6580 Address: 600 Fitch St - Suite 101, Elmira, NY 14905 County: Chemung Country: United States Single or Primary Contact: John A Haig Contact Phone: (607) 271-3682 CLIA #: 33D0861821