New York State Department of Health, Wadsworth Center
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Industrial Medicine Associates Mercy of Northern NY DIP
PFI: R447 Secondary Site ID: 0000 Certification Type: WAIVER Director: Justine Magurno, M.D. Phone: (315) 788-0062 Fax: (315) 788-0064 Address: 428 Washington St - Ste 1, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Holly Seidl Michel Contact Phone: (614) 361-9509 CLIA #: 33D1050759
PFI: R457 Secondary Site ID: 0000 Certification Type: PPMP Director: Joquetta D Paige, M.D. Phone: (212) 443-1000 Fax: (212) 443-1031 Address: 726 Broadway - Suite 474, New York, NY 10003 County: New York Country: United States Single or Primary Contact: Monica Kunkel Contact Phone: (212) 443-1163 CLIA #: 33D0932252
PFI: R459 Secondary Site ID: 0000 Certification Type: WAIVER Director: Jonathan W Heusel, M.D. Phone: (631) 444-3497 Fax: (631) 444-1530 Address: 5 Edmund Pelligrino Dr - Suite 102, Stony Brook, NY 11794 County: Suffolk Country: United States Single or Primary Contact: Evrim Erdogan Contact Phone: (631) 444-2600 CLIA #: 33D1051924
PFI: R470 Secondary Site ID: 0000 Certification Type: WAIVER Director: Lawrence K Fox, M.D. Phone: (845) 471-3977 Fax: (845) 483-0574 Address: 22 Green St, Poughkeepsie, NY 12601 County: Dutchess Country: United States Single or Primary Contact: Christine M Muller Contact Phone: (845) 471-3977 CLIA #: 33D1052388
PFI: R480 Secondary Site ID: 0000 Certification Type: WAIVER Director: Christine A Honnick, N.P. Phone: (607) 772-6904 Fax: (607) 771-1024 Address: 1182 Chenango St, Binghamton, NY 13901 County: Broome Country: United States Single or Primary Contact: Matthew Ryan Contact Phone: (607) 772-6904 CLIA #: 33D1052637
PFI: R495 Secondary Site ID: 0000 Certification Type: WAIVER Director: Stuart O Rosenberg, M.D. Phone: (718) 320-1335 Fax: (718) 320-1162 Address: 2020 E Gunhill Rd, Bronx, NY 10469 County: Bronx Country: United States Single or Primary Contact: Tina Henshaw Contact Phone: (718) 320-1335 CLIA #: 33D1054729
PFI: R496 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kristen M Peace, M.D. Phone: (518) 234-2424 Fax: (518) 823-4072 Address: 610 E Main St, Cobleskill, NY 12043 County: Schoharie Country: United States Single or Primary Contact: Michael Lent Contact Phone: (518) 234-2424 CLIA #: 33D1054182
PFI: R497 Secondary Site ID: 0016 Certification Type: PPMP Director: Tylis Y. Chang, M.D. Phone: (516) 773-5511 Fax: Address: Steamboat Road, Kings Point, NY 11024 County: Nassau Country: United States Single or Primary Contact: Jasnith Scott Contact Phone: (516) 562-3909 CLIA #: 33D0877274
PFI: R499 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zinat Maniky, M.D. Phone: (212) 883-4565 Fax: (212) 833-7213 Address: 25 Madison Avenue - Sky Lobby, New York, NY 10010 County: New York Country: United States Single or Primary Contact: Vanessa Weedman Contact Phone: (615) 468-5507 CLIA #: 33D1053400
Hospice of Orange and Sullivan Counties Inc Kaplan Family Hospice Res
PFI: R513 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert E Dinsmore, M.D. Phone: (845) 561-6111 Fax: (845) 561-2179 Address: 1 Sunrise Lane, Newburgh, NY 12550 County: Orange Country: United States Single or Primary Contact: Andrew Stuchiner Contact Phone: (845) 561-6111 CLIA #: 33D1053820
PFI: R536 Secondary Site ID: 0001 Certification Type: WAIVER Director: David C. Collymore, M.D. Phone: 71829911003026 Fax: (347) 649-3038 Address: 324 W 149th Street, Bronx, NY 10451 County: Bronx Country: United States Single or Primary Contact: David C Collymore, M.D. Contact Phone: 71829911001062 CLIA #: 33D1059664
PFI: R536 Secondary Site ID: 0002 Certification Type: WAIVER Director: David C. Collymore, M.D. Phone: (718) 842-1412 Fax: (718) 947-2257 Address: 751 E 151st St - 2nd Floor, Bronx, NY 10455 County: Bronx Country: United States Single or Primary Contact: David C Collymore, M.D. Contact Phone: 71829911001062 CLIA #: 33D1059664