New York State Department of Health, Wadsworth Center
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Elderwood at Hamburg
PFI: M622 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ryan James Mikac, M.D. Phone: (716) 648-2820 Fax: (716) 648-2980 Address: 5775 Maelou Drive, Hamburg, NY 14075 County: Erie Country: United States Single or Primary Contact: Isaac A Williams Contact Phone: (716) 648-2820 CLIA #: 33D0666089
PFI: M632 Secondary Site ID: 0001 Certification Type: PPMP Director: Christopher C Biondolillo, M.D. Phone: (716) 648-4345 Fax: (716) 648-4385 Address: 151 Elmview Dr, Hamburg, NY 14075 County: Erie Country: United States Single or Primary Contact: Stacy Dean Contact Phone: 71687529042657 CLIA #: 33D0711857
PFI: M632 Secondary Site ID: 0000 Certification Type: PPMP Director: Christopher C Biondolillo, M.D. Phone: (716) 875-2904 Fax: (716) 332-0771 Address: 155 Lawn Avenue, Buffalo, NY 14207 County: Erie Country: United States Single or Primary Contact: Stacy Dean Contact Phone: (716) 875-2904 CLIA #: 33D0711857
PFI: M632 Secondary Site ID: 0005 Certification Type: PPMP Director: Christopher C Biondolillo, M.D. Phone: (716) 755-7077 Fax: Address: 1050 Niagara St, Buffalo, NY 14213 County: Erie Country: United States Single or Primary Contact: Stacy Dean Contact Phone: CLIA #: 33D0711857
PFI: M632 Secondary Site ID: 0003 Certification Type: PPMP Director: Christopher C Biondolillo, M.D. Phone: (716) 332-3070 Fax: (716) 332-3075 Address: 4233 Lake Avenue, Blasdell, NY 14219-1216 County: Erie Country: United States Single or Primary Contact: Stacy Dean Contact Phone: 71687529042657 CLIA #: 33D0711857
PFI: M632 Secondary Site ID: 0002 Certification Type: PPMP Director: Christopher C Biondolillo, M.D. Phone: (716) 242-8600 Fax: Address: 300 Niagara Street, Buffalo, NY 14201 County: Erie Country: United States Single or Primary Contact: Stacy Dean Contact Phone: 71687529042657 CLIA #: 33D0711857
PFI: M632 Secondary Site ID: 0004 Certification Type: PPMP Director: Christopher C Biondolillo, M.D. Phone: (716) 427-7000 Fax: (716) 875-5346 Address: 1569 Niagara St, Buffalo, NY 14213 County: Erie Country: United States Single or Primary Contact: Stacy Dean Contact Phone: 71687529042657 CLIA #: 33D0711857
CenterLight Healthcare Diagnostic and Treatment Center
PFI: M636 Secondary Site ID: 0019 Certification Type: WAIVER Director: Jun M Mitsumoto, M.D. Phone: (718) 688-7008 Fax: (718) 688-7008 Address: 2401 White Plains Rd, Bronx, NY 10467 County: Bronx Country: United States Single or Primary Contact: Anne Marie Scioscia Contact Phone: (929) 618-1553 CLIA #: 33D0701727
CenterLight Healthcare Diagnostic and Treatment Center
PFI: M636 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jun M Mitsumoto, M.D. Phone: (718) 515-8600 Fax: (315) 750-7764 Address: 136-65 37th Avenue, Flushing, NY 11354 County: Bronx Country: United States Single or Primary Contact: Anne Marie Scioscia Contact Phone: (347) 306-2746 CLIA #: 33D0701727