New York State Department of Health, Wadsworth Center
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Westchester Health Care Center
PFI: R536 Secondary Site ID: 0003 Certification Type: WAIVER Director: David C. Collymore, M.D. Phone: 71829911007703 Fax: (718) 947-2257 Address: 915 Westchester, Bronx, NY 10457 County: Bronx Country: United States Single or Primary Contact: David C Collymore, M.D. Contact Phone: 71829911003017 CLIA #: 33D1059664
PFI: R536 Secondary Site ID: 0004 Certification Type: WAIVER Director: David C. Collymore, M.D. Phone: 71829911003354 Fax: (347) 649-3152 Address: 4196 Park Ave, Bronx, NY 10457 County: Bronx Country: United States Single or Primary Contact: David C Collymore, M.D. Contact Phone: 71829911003017 CLIA #: 33D1059664
PFI: R536 Secondary Site ID: 0005 Certification Type: WAIVER Director: David C. Collymore, M.D. Phone: 71829911003017 Fax: (347) 649-3152 Address: 1776 Clay Ave, Bronx, NY 10457 County: Bronx Country: United States Single or Primary Contact: David C Collymore, M.D. Contact Phone: 71829911003017 CLIA #: 33D1059664
PFI: R536 Secondary Site ID: 0006 Certification Type: WAIVER Director: David C. Collymore, M.D. Phone: 71829911001049 Fax: (347) 649-3152 Address: 262-4 E 174th St, Bronx, NY 10457 County: Bronx Country: United States Single or Primary Contact: David C Collymore, M.D. Contact Phone: 71829911003017 CLIA #: 33D1059664
PFI: R536 Secondary Site ID: 0000 Certification Type: WAIVER Director: David C. Collymore, M.D. Phone: (718) 842-1412 Fax: (718) 947-2257 Address: 966 Prospect Avenue, Bronx, NY 10459 County: Bronx Country: United States Single or Primary Contact: David C Collymore, M.D. Contact Phone: (718) 299-1100 CLIA #: 33D1059664
PFI: R546 Secondary Site ID: 0000 Certification Type: PPMP Director: Shani N Andre, M.D. Phone: (718) 784-2240 Fax: (718) 784-0240 Address: 21-01 41st Ave, Long Island City, NY 11101 County: Queens Country: United States Single or Primary Contact: Linda You Contact Phone: (718) 784-2240 CLIA #: 33D0892575
PFI: R546 Secondary Site ID: 0013 Certification Type: PPMP Director: Shani N Andre, M.D. Phone: (297) 871-8257 Fax: (646) 813-1450 Address: 108-75 Ave D, Brooklyn, NY 11236 County: Kings Country: United States Single or Primary Contact: Linda You Contact Phone: (718) 784-2240 CLIA #: 33D0892575
PFI: R546 Secondary Site ID: 0008 Certification Type: PPMP Director: Shani N Andre, M.D. Phone: (718) 361-6266 Fax: (718) 361-6544 Address: 1029 41st Avenue, Long Island City, NY 11101 County: Queens Country: United States Single or Primary Contact: Linda You Contact Phone: (718) 361-6266 CLIA #: 33D0892575
PFI: R546 Secondary Site ID: 0003 Certification Type: PPMP Director: Shani N Andre, M.D. Phone: 7185830174233 Fax: (718) 901-1829 Address: 285 E 171st St, Bronx, NY 10452 County: Bronx Country: United States Single or Primary Contact: Linda You Contact Phone: CLIA #: 33D0892575
PFI: R546 Secondary Site ID: 0004 Certification Type: PPMP Director: Shani N Andre, M.D. Phone: (718) 834-6974 Fax: (718) 722-4265 Address: 39 Auburn Place, Brooklyn, NY 11205 County: Kings Country: United States Single or Primary Contact: Linda You Contact Phone: CLIA #: 33D0892575
PFI: R546 Secondary Site ID: 0002 Certification Type: PPMP Director: Shani N Andre, M.D. Phone: (917) 521-3070 Fax: (718) 742-6723 Address: 151 E 151st St, Bronx, NY 10451 County: Bronx Country: United States Single or Primary Contact: Linda You Contact Phone: CLIA #: 33D0892575
PFI: R563 Secondary Site ID: 0003 Certification Type: WAIVER Director: Ira L Salom, M.D. Phone: (718) 447-0200 Fax: (718) 981-1431 Address: 2324 Forest Ave, Staten Island, NY 10303 County: Bronx Country: United States Single or Primary Contact: Sonya Maxwell Contact Phone: 71877885393026 CLIA #: 33D1057857
PFI: R563 Secondary Site ID: 0005 Certification Type: WAIVER Director: Ira L Salom, M.D. Phone: (646) 905-5710 Fax: Address: 335 E 25th St - Suite 1B 1st Floor, New York, NY 10010 County: New York Country: United States Single or Primary Contact: Sonya Maxwell Contact Phone: 71877885393026 CLIA #: 33D1057857
PFI: R570 Secondary Site ID: 0000 Certification Type: WAIVER Director: Barry J. Buls, M.D. Phone: (718) 998-2100 Fax: (718) 998-2951 Address: 519 Avenue M, Brooklyn, NY 11230 County: Kings Country: United States Single or Primary Contact: Roman Oljanenko Contact Phone: (718) 998-2100 CLIA #: 33D1073449
PFI: R571 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sherman Chan, M.D. Phone: (212) 254-3570 Fax: (212) 254-3572 Address: 380 2nd Avenue 10th Floor, New York, NY 10010 County: New York Country: United States Single or Primary Contact: Fanny Poon Chan Contact Phone: (212) 254-3570 CLIA #: 33D1056679