New York State Department of Health, Wadsworth Center
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Bureau of Public Health Nursing Suffolk County Dept of Health Services
PFI: M982 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gregson H Pigott, M.D. Phone: (631) 853-3069 Fax: (631) 854-0311 Address: 3500 Sunrise Highway, Suite 124, Great River, NY 11739 County: Suffolk Country: United States Single or Primary Contact: Kathleen Collins Contact Phone: (631) 853-6459 CLIA #: 33D0725450
Victory Lake Operations LLC dba The Eleanor Nursing Care Center
PFI: M983 Secondary Site ID: 0000 Certification Type: WAIVER Director: Deepesh S Patel, M.D. Phone: (845) 229-9177 Fax: (845) 229-9819 Address: 419 North Quaker Lane, Hyde Park, NY 12538 County: Dutchess Country: United States Single or Primary Contact: Jobbin Jacob Contact Phone: (845) 229-9177 CLIA #: 33D0675542
PFI: M988 Secondary Site ID: 0001 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (718) 589-2141 Fax: (718) 589-3573 Address: 890 Hunts Point Avenue, Bronx, NY 10474 County: Bronx Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: (646) 372-6137 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0000 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (718) 589-2440 Fax: (718) 589-4793 Address: 1065 Southern Blvd, Bronx, NY 10459 County: Bronx Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: 71858924404294 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0034 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: 71858924403246 Fax: (347) 943-0266 Address: 1057 Southern Blvd, Bronx, NY 10459 County: Bronx Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: (646) 372-6137 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0033 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (347) 407-7120 Fax: (917) 261-3911 Address: 271 E 138th Street, Bronx, NY 10457 County: Bronx Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: 71858924404294 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0032 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (347) 284-0595 Fax: (917) 261-3856 Address: 866 E Tremont Ave, Bronx, NY 10460 County: Queens Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: 71858924404294 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0031 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (347) 686-6370 Fax: (718) 508-0153 Address: 104-01 Corona Ave, Corona, NY 11368 County: Queens Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: 71858924404294 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0030 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (718) 364-7700 Fax: (718) 364-1513 Address: 4419 3rd Ave, Bronx, NY 10457 County: Bronx Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: 71858924404294 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0029 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (718) 860-2707 Fax: (718) 860-3212 Address: 1001 Jennings Street, Bronx, NY 10460 County: Bronx Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: 71858924404294 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0028 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (212) 749-3507 Fax: (212) 666-1679 Address: 154 W 127th Street, New York, NY 10027 County: New York Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: 71858924404294 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0027 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (718) 271-7851 Fax: (718) 406-9560 Address: 45-10 94th Street, Elmhurst, NY 11373 County: Queens Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: 71858924404294 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0026 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (347) 686-3690 Fax: (347) 378-4424 Address: 48-01 90th St - 3rd Fl Rm 368, Elmhurst, NY 11373 County: Queens Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: (347) 682-0037 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0025 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (347) 284-0203 Fax: (718) 993-5684 Address: 3209 Third Avenue, Bronx, NY 10451 County: Bronx Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: (646) 372-6137 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0024 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (917) 801-4406 Fax: (917) 801-4409 Address: 1551 E 172nd Street, Bronx, NY 10472 County: Bronx Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: (646) 372-6137 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0022 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (718) 378-0490 Fax: (718) 589-1717 Address: 800 Home Street, Bronx, NY 10456 County: Bronx Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: 71858924404294 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0021 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (347) 407-7166 Fax: 186844351 Address: 1764-66 Westchester Avenue, Bronx, NY 10472 County: Bronx Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: 71858924404294 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0010 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (718) 378-3280 Fax: (718) 378-6127 Address: 730 Bryant St, Bronx, NY 10474 County: Bronx Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: (646) 372-6137 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0020 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (917) 962-4713 Fax: (917) 962-4717 Address: 1300 Boynton Avenue, New York, NY 10472 County: Bronx Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: (646) 372-6137 CLIA #: 33D0136121
PFI: M988 Secondary Site ID: 0002 Certification Type: WAIVER Director: Samuel A. De Leon, M.D. Phone: (718) 589-1600 Fax: (718) 589-1717 Address: 1515 Southern Blvd, Bronx, NY 10460 County: Bronx Country: United States Single or Primary Contact: Dr. Sara Palomino Contact Phone: (646) 372-6137 CLIA #: 33D0136121