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: 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: 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: 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
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: 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
CenterLight Healthcare Diagnostic and Treatment Center
PFI: M636 Secondary Site ID: 0003 Certification Type: WAIVER Director: Jun M Mitsumoto, M.D. Phone: (718) 688-7008 Fax: (914) 993-7880 Address: 335 Old Tarrytown Road, White Plains, NY 10603 County: Westchester Country: United States Single or Primary Contact: Anne Marie Scioscia Contact Phone: (929) 618-1553 CLIA #: 33D0701727