New York State Department of Health, Wadsworth Center
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Mobile Life Support Services Inc
PFI: P480 Secondary Site ID: 0000 Certification Type: WAIVER Director: Anthony R. Ruvo, M.D. Phone: (845) 562-4368 Fax: (845) 562-4055 Address: 3188 Rte 9W, New Windsor, NY 12553 County: Orange Country: United States Single or Primary Contact: William T Jeffries Contact Phone: (845) 561-5698 CLIA #: 33D1006577
PFI: P487 Secondary Site ID: 0000 Certification Type: WAIVER Director: William T. Fisher, M.D. Phone: (518) 399-7066 Fax: (518) 399-0420 Address: 1123 Rte 146A, Ballston Lake, NY 12019 County: Saratoga Country: United States Single or Primary Contact: Michael Siiss Contact Phone: (518) 858-2222 CLIA #: 33D1006575
PFI: P489 Secondary Site ID: 0000 Certification Type: PPMP Director: Shikhar G Vyas, M.D. Phone: (315) 779-5070 Fax: (315) 779-5084 Address: 1575 Washington Street, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Tony Marra Contact Phone: (315) 785-4506 CLIA #: 33D1008052
PFI: P489 Secondary Site ID: 0003 Certification Type: PPMP Director: Shikhar G Vyas, M.D. Phone: (315) 686-2094 Fax: (315) 686-2821 Address: 909 Strawberry Lane, Clayton, NY 13624 County: Jefferson Country: United States Single or Primary Contact: Tony Marra Contact Phone: (315) 785-4506 CLIA #: 33D1008052
PFI: P489 Secondary Site ID: 0010 Certification Type: PPMP Director: Shikhar G Vyas, M.D. Phone: (315) 654-2530 Fax: (315) 654-2832 Address: 782 E Broadway St, Cape Vincent, NY 13618 County: Jefferson Country: United States Single or Primary Contact: Tony Marra Contact Phone: (315) 785-4506 CLIA #: 33D1008052
PFI: P489 Secondary Site ID: 0009 Certification Type: PPMP Director: Shikhar G Vyas, M.D. Phone: (315) 755-2024 Fax: (315) 755-2032 Address: 165 Coleman Ave, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Tony Marra Contact Phone: (315) 785-4506 CLIA #: 33D1008052
PFI: P489 Secondary Site ID: 0005 Certification Type: PPMP Director: Shikhar G Vyas, M.D. Phone: (315) 629-4525 Fax: (315) 629-5751 Address: 26908 Independence Way - Suite 101, Evans Mills, NY 13637 County: Jefferson Country: United States Single or Primary Contact: Tony Marra Contact Phone: (315) 785-4506 CLIA #: 33D1008052
PFI: P489 Secondary Site ID: 0008 Certification Type: PPMP Director: Shikhar G Vyas, M.D. Phone: (315) 782-7230 Fax: (315) 782-3209 Address: 19324 US Rte 11, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Tony Marra Contact Phone: (315) 785-4506 CLIA #: 33D1008052
PFI: P500 Secondary Site ID: 0004 Certification Type: WAIVER Director: Richard M. Rigotti, M.D. Phone: (607) 843-9816 Fax: (607) 843-9280 Address: 21 N Canal St, Oxford, NY 13830 County: Chenango Country: United States Single or Primary Contact: Linda Shelton Contact Phone: (607) 763-5812 CLIA #: 33D1008041
PFI: P500 Secondary Site ID: 0005 Certification Type: WAIVER Director: Richard M. Rigotti, M.D. Phone: (607) 674-4495 Fax: (607) 674-6350 Address: 38A Classic St, Sherburne, NY 13460 County: Chenango Country: United States Single or Primary Contact: Linda Shelton Contact Phone: (607) 763-5812 CLIA #: 33D1008041
PFI: P500 Secondary Site ID: 0015 Certification Type: WAIVER Director: Richard M. Rigotti, M.D. Phone: (607) 561-2200 Fax: (607) 561-2205 Address: 44 Pearl Street, Sidney, NY 13838 County: Delaware Country: United States Single or Primary Contact: Linda Shelton Contact Phone: (607) 763-5812 CLIA #: 33D1008041
PFI: P500 Secondary Site ID: 0016 Certification Type: WAIVER Director: Richard M. Rigotti, M.D. Phone: (607) 337-4218 Fax: (607) 337-4064 Address: 32 Conkey Ave, Norwich, NY 13815 County: Chenango Country: United States Single or Primary Contact: Linda Shelton Contact Phone: (607) 337-4218 CLIA #: 33D1008041
PFI: P500 Secondary Site ID: 0000 Certification Type: WAIVER Director: Richard M. Rigotti, M.D. Phone: (607) 337-4139 Fax: (607) 336-2167 Address: 4 Newton Avenue, Norwich, NY 13815 County: Chenango Country: United States Single or Primary Contact: Linda Shelton Contact Phone: (607) 337-4256 CLIA #: 33D1008041
PFI: P512 Secondary Site ID: 0000 Certification Type: WAIVER Director: Martin A Schaeffer, M.D. Phone: (315) 701-9378 Fax: (315) 701-0869 Address: 5700 W Genesee St - Suite 11, Camillus, NY 13031 County: Onondaga Country: United States Single or Primary Contact: Tracey Neufang Contact Phone: (315) 701-9378 CLIA #: 33D1008369