PFI: P777 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian J Mignola, M.D. Phone: (718) 390-3158 Fax: (718) 420-4170 Address: One Campus Road, Staten Island, NY 10301 County: Richmond Country: United States Single or Primary Contact: Anna Gatto Contact Phone: (718) 390-3158 CLIA #: 33D1018210
PFI: P781 Secondary Site ID: 0000 Certification Type: WAIVER Director: Hong Van N Tieu, M.D. Phone: (212) 388-0008 Fax: (212) 861-5873 Address: 310 East 67th St RM 1-79, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Leila Noori Contact Phone: (212) 388-0008 CLIA #: 33D1018711
PFI: P787 Secondary Site ID: 0000 Certification Type: PPMP Director: Elizabeth A Ring, N.P. Phone: (646) 654-0640 Fax: (646) 654-0639 Address: 40 Irving Place Rm 111, New York, NY 10003 County: New York Country: United States Single or Primary Contact: Patricia Engelhardt Contact Phone: (845) 546-8410 CLIA #: 33D1032526
PFI: P790 Secondary Site ID: 0000 Certification Type: WAIVER Director: John J. Koehler, M.D. Phone: (315) 349-7963 Fax: (315) 349-7696 Address: 348 Lake Road, Oswego, NY 13126 County: Oswego Country: United States Single or Primary Contact: Lisa Doolittle Contact Phone: (315) 349-7963 CLIA #: 33D1019432
PFI: P807 Secondary Site ID: 0000 Certification Type: WAIVER Director: Christopher J. Case, D.O. Phone: (518) 793-3011 Fax: (518) 793-1761 Address: 1583 Route 9, Fort Edward, NY 12828 County: Saratoga Country: United States Single or Primary Contact: Andre M Delvaux Contact Phone: (518) 791-2306 CLIA #: 33D1019536
PFI: P812 Secondary Site ID: 0002 Certification Type: WAIVER Director: Leonardo Dishman, M.D. Phone: (518) 358-4124 Fax: (518) 358-9795 Address: 385 Church St, Akwesasne, NY 13655 County: Franklin Country: United States Single or Primary Contact: Michael Cook Contact Phone: (518) 358-4124 CLIA #: 33D1020880
PFI: P812 Secondary Site ID: 0003 Certification Type: WAIVER Director: Leonardo Dishman, M.D. Phone: (518) 358-2223 Fax: (518) 358-9123 Address: 25 St Regis Rd, Akwesasne, NY 13655 County: Franklin Country: United States Single or Primary Contact: Michael Cook Contact Phone: (518) 358-2223 CLIA #: 33D1020880
Saint Regis Mohawk Health Services Alcohol/Chemical Dependency Program
PFI: P812 Secondary Site ID: 0000 Certification Type: WAIVER Director: Leonardo Dishman, M.D. Phone: (518) 358-3141 Fax: (518) 358-2797 Address: 404 State Rte 37, Akwesasne, NY 13655 County: Franklin Country: United States Single or Primary Contact: Michael Cook Contact Phone: (518) 358-3141 CLIA #: 33D1020880
PFI: P821 Secondary Site ID: 0000 Certification Type: WAIVER Director: Alex Sherman, M.D. Phone: (212) 889-5477 Fax: (212) 889-0517 Address: 535 Second Avenue, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Elizabeth Yuen Contact Phone: (212) 889-5477 CLIA #: 33D1020134
PFI: P824 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mary C. Daye, M.D. Phone: (315) 476-0600 Fax: (315) 476-4700 Address: 1011 West Genesse Street, Suite 3, Syracuse, NY 13204 County: Onondaga Country: United States Single or Primary Contact: Sonja Reisig Contact Phone: (410) 910-1537 CLIA #: 33D1056319