New York State Department of Health, Wadsworth Center
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132 Tryon Estates
PFI: E013 Secondary Site ID: 0009 Certification Type: WAIVER Director: Robert B Young, M.D. Phone: (585) 503-4575 Fax: (585) 563-6590 Address: 132 Tryon Estates, Rochester, NY 14609 County: Monroe Country: United States Single or Primary Contact: Renee Schumacher Contact Phone: (585) 755-7874 CLIA #: 33D2224038
PFI: E013 Secondary Site ID: 0010 Certification Type: WAIVER Director: Robert B Young, M.D. Phone: (585) 224-9784 Fax: (585) 563-6390 Address: 63 Tryon Park, Rochester, NY 14609 County: Monroe Country: United States Single or Primary Contact: Renee Schumacher Contact Phone: (585) 755-7874 CLIA #: 33D2224038
PFI: E013 Secondary Site ID: 0012 Certification Type: WAIVER Director: Robert B Young, M.D. Phone: (585) 872-5412 Fax: (585) 872-6046 Address: 567 Holt Rd, Webster, NY 14580 County: Monroe Country: United States Single or Primary Contact: Renee Schumacher Contact Phone: (585) 251-4484 CLIA #: 33D2224038
PFI: E013 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert B Young, M.D. Phone: (585) 865-3224 Fax: (585) 621-5619 Address: 90 Cloverdale St, Rochester, NY 14612 County: Monroe Country: United States Single or Primary Contact: Renee Schumacher Contact Phone: (585) 339-9800 CLIA #: 33D2224038
PFI: E014 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter E Fishman, M.D. Phone: (518) 623-9635 Fax: (518) 623-9635 Address: 177 Hudson St, Warrensburg, NY 12888 County: Warren Country: United States Single or Primary Contact: Tony Stein Contact Phone: (518) 623-9635 CLIA #: 33D2224711
PFI: E016 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian W Shinkle, D.O. Phone: (267) 241-6848 Fax: (856) 324-9095 Address: 612 W 28th St, New York, NY 10001 County: New York Country: United States Single or Primary Contact: Toledo Ayers Contact Phone: (856) 394-2358 CLIA #: 33D2224046
PFI: E017 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (585) 359-3250 Fax: (585) 359-3267 Address: 2665 E Henrietta Rd, Henrietta, NY 14467 County: Monroe Country: United States Single or Primary Contact: Daniel Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2224049
PFI: E020 Secondary Site ID: 0000 Certification Type: WAIVER Director: Maja L. Lundborg-Gray, M.D. Phone: (315) 639-3054 Fax: (315) 639-3067 Address: 100 Locke St, Dexter, NY 13634 County: Jefferson Country: United States Single or Primary Contact: Nathan Peters Contact Phone: (315) 639-3054 CLIA #: 33D2224715
PFI: E023 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert A Jacobs, M.D. Phone: (631) 473-7070 Fax: (631) 331-2654 Address: 4616 Nesconset Hwy, Port Jefferson Sta, NY 11776 County: Suffolk Country: United States Single or Primary Contact: Dawn Riske Contact Phone: (631) 473-7070 CLIA #: 33D2225039
PFI: E025 Secondary Site ID: 0000 Certification Type: WAIVER Director: Heidi Flagg, M.D. Phone: (917) 543-2940 Fax: Address: 105 New York Ave, Bayshore, NY 11706 County: Suffolk Country: United States Single or Primary Contact: Dr. Heidi Flagg Contact Phone: (917) 543-2940 CLIA #: 33D2225177
PFI: E033 Secondary Site ID: 0000 Certification Type: WAIVER Director: Gifty J Appiah, N.P. Phone: (929) 424-3400 Fax: (888) 757-9713 Address: 32-72 Steinway St - Suite 302, Long Island City, NY 11103 County: Queens Country: United States Single or Primary Contact: Mafe Iledan Contact Phone: (201) 923-7077 CLIA #: 33D2225902
PFI: E034 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jill C Taylor, N.P. Phone: (585) 293-2060 Fax: (585) 293-2203 Address: 50 Union Square Blvd, North Chili, NY 14514 County: Monroe Country: United States Single or Primary Contact: Julie Kornow Contact Phone: (585) 293-2060 CLIA #: 33D2225045
PFI: E036 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mark J Mulligan, M.D. Phone: (877) 919-2822 Fax: (646) 501-2450 Address: 550 First Ave - MSB 4th FL RM 4-200, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Heekoung Youn Contact Phone: (877) 919-2822 CLIA #: 33D2225151