PFI: N711 Secondary Site ID: 0001 Certification Type: PPMP Director: Jane R Roodenburg, N.P. Phone: (518) 292-1946 Fax: (518) 292-1918 Address: 140 New Scotland Ave, Albany, NY 12208 County: Albany Country: United States Single or Primary Contact: Tawana Davis Contact Phone: (518) 292-1946 CLIA #: 33D0984542
PFI: N711 Secondary Site ID: 0000 Certification Type: PPMP Director: Jane R Roodenburg, N.P. Phone: (518) 244-2261 Fax: (518) 244-2262 Address: 45 Ferry Street, Troy, NY 12180 County: Rensselaer Country: United States Single or Primary Contact: Tawana Davis Contact Phone: (518) 244-2273 CLIA #: 33D0984542
PFI: N714 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ohnma Kyaw, N.P. Phone: (212) 346-1600 Fax: (212) 346-1308 Address: 161 William St. (Rm 212), New York, NY 10038 County: New York Country: United States Single or Primary Contact: Ohnma Kyaw Contact Phone: (212) 346-1600 CLIA #: 33D0716114
PFI: N719 Secondary Site ID: 0000 Certification Type: WAIVER Director: Stephen T Grybowski, M.D. Phone: (315) 786-3730 Fax: (315) 779-8607 Address: 531 Meade St, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Stephen Jennings Contact Phone: (315) 786-3710 CLIA #: 33D0654659
PFI: N723 Secondary Site ID: 0000 Certification Type: WAIVER Director: James A Lemley, M.D. Phone: (315) 498-6200 Fax: (315) 498-6463 Address: 6711 Towpath Rd Ste 165, East Syracuse, NY 13057 County: Onondaga Country: United States Single or Primary Contact: Geoffrey Smith Contact Phone: (315) 498-6200 CLIA #: 33D0993969
Harding Nursing Home LLC dba Waterville Residential Care Center
PFI: N726 Secondary Site ID: 0000 Certification Type: WAIVER Director: David T Ouyang, M.D. Phone: (315) 841-4156 Fax: (315) 841-8856 Address: 220 Tower St, Waterville, NY 13480 County: Oneida Country: United States Single or Primary Contact: Jane Boice Contact Phone: (315) 841-4156 CLIA #: 33D0167173
PFI: N727 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ion Oltean, M.D. Phone: (516) 367-3400 Fax: (516) 692-9627 Address: 8565 Jericho Tpk, Woodbury, NY 11797 County: Nassau Country: United States Single or Primary Contact: Ernest R Trentoi Contact Phone: (516) 367-3400 CLIA #: 33D0159977
PFI: N743 Secondary Site ID: 0000 Certification Type: WAIVER Director: Olaf Z Butchma, D.O. Phone: (631) 587-0600 Fax: (631) 587-0311 Address: 10 Berkshire Rd, West Babylon, NY 11704 County: Suffolk Country: United States Single or Primary Contact: Sam Wercberger Contact Phone: (631) 587-0600 CLIA #: 33D0664821
PFI: N744 Secondary Site ID: 0000 Certification Type: WAIVER Director: Syed S Raza, M.D. Phone: (631) 422-4800 Fax: (631) 422-6484 Address: 134 Great East Neck Road, West Babylon, NY 11704 County: Suffolk Country: United States Single or Primary Contact: Karissa Chiantella Contact Phone: (631) 422-4800 CLIA #: 33D0155991