PFI: M618 Secondary Site ID: 0001 Certification Type: WAIVER Director: Suarez I Monica, M.D. Phone: (646) 672-1474 Fax: (212) 360-6149 Address: 160 E 120th St, New York, NY 10035 County: New York Country: United States Single or Primary Contact: Monica Suarez Contact Phone: (646) 672-1474 CLIA #: 33D0701461
PFI: M618 Secondary Site ID: 0002 Certification Type: WAIVER Director: Suarez I Monica, M.D. Phone: (646) 852-6195 Fax: (212) 256-0795 Address: 535 E 119th St, New York, NY 10035 County: New York Country: United States Single or Primary Contact: Monica Suarez Contact Phone: (646) 669-7015 CLIA #: 33D0701461
PFI: M618 Secondary Site ID: 0003 Certification Type: WAIVER Director: Suarez I Monica, M.D. Phone: (646) 669-7015 Fax: (212) 256-0795 Address: 319 E 117th St, New York, NY 10035 County: New York Country: United States Single or Primary Contact: Monica Suarez Contact Phone: (646) 669-7015 CLIA #: 33D0701461
East Harlem Council for Human Svcs dba Boriken Neighborhood Hlth Ctr
PFI: M618 Secondary Site ID: 0000 Certification Type: WAIVER Director: Suarez I Monica, M.D. Phone: (212) 289-6650 Fax: (212) 360-6149 Address: 2265 Third Ave, New York, NY 10035 County: New York Country: United States Single or Primary Contact: Monica Suarez Contact Phone: (212) 289-6650 CLIA #: 33D0701461
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: M623 Secondary Site ID: 0000 Certification Type: WAIVER Director: Nima P Hazrati, M.D. Phone: (607) 535-8140 Fax: (607) 535-8157 Address: 106 S Perry St, Watkins Glen, NY 14891 County: Schuyler Country: United States Single or Primary Contact: Jill Kasprzyk Contact Phone: (607) 535-8140 CLIA #: 33D0892900
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: 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