New York State Department of Health, Wadsworth Center
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Edmeston Central School
PFI: D056 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kerri K LeBlanc, M.D. Phone: (607) 965-8931 Fax: (607) 965-8942 Address: 11 North St, Edmeston, NY 13335 County: Otsego Country: United States Single or Primary Contact: Gary Furman Contact Phone: (607) 965-8931 CLIA #: 33D2214316
PFI: D065 Secondary Site ID: 0000 Certification Type: WAIVER Director: Eugene M Raber, M.D. Phone: (631) 941-4455 Fax: (631) 941-4565 Address: 1 Sunrise Dr, East Setauket, NY 11733 County: Suffolk Country: United States Single or Primary Contact: Michael Christian Contact Phone: (631) 941-4455 CLIA #: 33D2214318
PFI: D076 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lisa M Ryder, M.D. Phone: (585) 567-8229 Fax: Address: 9750 State Rt 19, Houghton, NY 14744 County: Allegany Country: United States Single or Primary Contact: Mae Stadelmaier Contact Phone: (210) 827-2562 CLIA #: 33D2210142
PFI: D093 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael Happes, M.D. Phone: (212) 340-3192 Fax: Address: 89 E 42nd St, New York, NY 10017 County: New York Country: United States Single or Primary Contact: Christopher Dunlavey Contact Phone: (917) 678-7059 CLIA #: 33D2210156
PFI: D094 Secondary Site ID: 0004 Certification Type: WAIVER Director: Brett Dietzman, N.P. Phone: (607) 363-2107 Fax: (607) 363-2105 Address: 14784 State Hwy 30, Downsville, NY 13755 County: Delaware Country: United States Single or Primary Contact: Jason Lawrence Contact Phone: (607) 363-2107 CLIA #: 33D2210157
PFI: D094 Secondary Site ID: 0013 Certification Type: WAIVER Director: Brett Dietzman, N.P. Phone: (607) 561-7703 Fax: (607) 563-2386 Address: 95 W Main St, Sidney, NY 13838 County: Delaware Country: United States Single or Primary Contact: Jason Lawrence Contact Phone: (607) 561-7703 CLIA #: 33D2210157
PFI: D094 Secondary Site ID: 0012 Certification Type: WAIVER Director: Brett Dietzman, N.P. Phone: (607) 674-7300 Fax: (607) 674-9742 Address: 15 School St, Sherburne, NY 13460 County: Chenango Country: United States Single or Primary Contact: Jason Lawrence Contact Phone: (607) 674-7300 CLIA #: 33D2210157
PFI: D094 Secondary Site ID: 0011 Certification Type: WAIVER Director: Brett Dietzman, N.P. Phone: (607) 843-2025 Fax: (607) 843-3241 Address: 12 Foot Hill Park, Oxford, NY 13830 County: Chenango Country: United States Single or Primary Contact: Jason Lawrence Contact Phone: (607) 843-2025 CLIA #: 33D2210157
PFI: D094 Secondary Site ID: 0010 Certification Type: WAIVER Director: Brett Dietzman, N.P. Phone: (315) 653-7218 Fax: (315) 843-3241 Address: 125 County Rd 13A, South Otselic, NY 13155 County: Chenango Country: United States Single or Primary Contact: Jason Lawrence Contact Phone: (315) 653-7218 CLIA #: 33D2210157