New York State Department of Health, Wadsworth Center
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One Medical with Mt Sinai
PFI: E242 Secondary Site ID: 0000 Certification Type: PPMP Director: Winnifred Lamarre, M.D. Phone: (212) 530-2288 Fax: (212) 867-4353 Address: 40 E 43rd St, Floor 2, New York, NY 10017 County: New York Country: United States Single or Primary Contact: Laura Schmiess Contact Phone: (415) 658-6791 CLIA #: 33D2232440
PFI: E246 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lincoln Hernandez, M.D. Phone: (646) 386-7574 Fax: (917) 261-4258 Address: 801 W 181st St - Suite 8B, New York, NY 10033 County: New York Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2232438
PFI: E249 Secondary Site ID: 0000 Certification Type: WAIVER Director: Matthew A Stupple, M.D. Phone: (845) 679-2013 Fax: Address: 24 Wall St, West Hurley, NY 12491 County: Ulster Country: United States Single or Primary Contact: Kent Fitzgerald Contact Phone: (845) 679-2013 CLIA #: 33D2234212
PFI: E251 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sumir P Sahgal, M.D. Phone: (718) 925-3449 Fax: Address: 828 E 149th St - Suite B, Bronx, NY 10455 County: Bronx Country: United States Single or Primary Contact: Rosemary Gonzalez Contact Phone: (646) 350-1619 CLIA #: 33D2232455
PFI: E254 Secondary Site ID: 0000 Certification Type: WAIVER Director: Abraham Malkin, M.D. Phone: (917) 781-2070 Fax: Address: 60 E 66th St - Unit 1A, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Stephen Bouskila Contact Phone: (310) 804-8081 CLIA #: 33D2232451
PFI: E262 Secondary Site ID: 0000 Certification Type: WAIVER Director: Steven W Pappas, M.D. Phone: (914) 341-1900 Fax: (914) 341-1907 Address: 2141 Palmer Ave, Larchmont, NY 10538 County: Westchester Country: United States Single or Primary Contact: Douglas Kristensen Contact Phone: (914) 341-1900 CLIA #: 33D2232842
PFI: E264 Secondary Site ID: 0000 Certification Type: WAIVER Director: Christopher P LaRussa, M.D. Phone: (315) 437-8300 Fax: (315) 437-9107 Address: 3519 James St, Syracuse, NY 13206 County: Onondaga Country: United States Single or Primary Contact: Amy Elkins Contact Phone: (315) 437-8300 CLIA #: 33D2234214
PFI: E274 Secondary Site ID: 0001 Certification Type: WAIVER Director: Adam S. Kotowski, M.D. Phone: (716) 285-0853 Fax: (716) 322-3283 Address: 10175 Niagara Falls Blvd, Niagara Falls, NY 14304 County: Niagara Country: United States Single or Primary Contact: Erika De Almeida Contact Phone: 71684513002226 CLIA #: 33D2234217