PFI: M357 Secondary Site ID: 0000 Certification Type: WAIVER Director: Christopher P Black, M.D. Phone: (315) 413-3733 Fax: (315) 413-3555 Address: 700 E Brighton Ave, Syracuse, NY 13205 County: Onondaga Country: United States Single or Primary Contact: Courtney Lyon Contact Phone: (315) 413-3733 CLIA #: 33D0961343
Center for Disability Services Holding Corp dba St Margarets Center
PFI: M376 Secondary Site ID: 0000 Certification Type: WAIVER Director: Maria Kansas-Devine, M.D. Phone: (518) 591-3300 Fax: (518) 591-3320 Address: 27 Hackett Blvd, Albany, NY 12208 County: Albany Country: United States Single or Primary Contact: Mary Ellen Pace Contact Phone: (518) 591-3348 CLIA #: 33D0162319
BronxCare Health System Health and Wellness Center
PFI: M382 Secondary Site ID: 0001 Certification Type: WAIVER Director: AAM A. Baqui, M.D., Ph.D. Phone: (718) 579-3975 Fax: Address: 199 Mt Eden Pkwy, Bronx, NY 10457 County: Bronx Country: United States Single or Primary Contact: James M. Dunne Contact Phone: (718) 518-5197 CLIA #: 33D0961638
PFI: M382 Secondary Site ID: 0000 Certification Type: WAIVER Director: AAM A. Baqui, M.D., Ph.D. Phone: (718) 579-2643 Fax: (718) 579-2644 Address: 1645 Grand Concourse Street Level, Bronx, NY 10457 County: Bronx Country: United States Single or Primary Contact: James M. Dunne Contact Phone: (718) 518-5197 CLIA #: 33D0961638
PFI: M385 Secondary Site ID: 0000 Certification Type: WAIVER Director: Roy A Hillman, M.D. Phone: (914) 631-2600 Fax: (914) 631-0091 Address: 20 Wood Court, Tarrytown, NY 10591 County: Westchester Country: United States Single or Primary Contact: Mendi Brodie Contact Phone: (914) 631-2600 CLIA #: 33D0662610
PFI: M390 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ali Mirza, M.D. Phone: (518) 456-7831 Fax: (518) 456-6261 Address: 180 Washington Avenue Ext, Albany, NY 12203 County: Albany Country: United States Single or Primary Contact: Lisa Marrello Contact Phone: (518) 724-3201 CLIA #: 33D0666273
Community Care Companions Inc dba Community Care Home Health Services
PFI: M404 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sebastian P Avolese, M.D. Phone: (631) 549-9500 Fax: (631) 382-8220 Address: 300 W Main St, Smithtown, NY 11787 County: Suffolk Country: United States Single or Primary Contact: Ekua Croffie Contact Phone: (631) 549-9500 CLIA #: 33D0906406