New York State Department of Health, Wadsworth Center
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Mather Hospital Northwell Health Wound Treatment Center Port Jefferson
PFI: S050 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel L Perrault, M.D. Phone: (631) 474-4590 Fax: (631) 474-4594 Address: 5225-53 Rte 347 - Bldg 12, Port Jefferson, NY 11776 County: Suffolk Country: United States Single or Primary Contact: Donna Hardwicke Contact Phone: (631) 474-4590 CLIA #: 33D1078901
PFI: S052 Secondary Site ID: 0000 Certification Type: WAIVER Director: Adia K Taylor, D.O. Phone: (585) 589-7505 Fax: Address: 168 South Main St Suite 2, Albion, NY 14411 County: Orleans Country: United States Single or Primary Contact: Katie Wolcott-Tobias Contact Phone: (585) 589-7505 CLIA #: 33D1077204
PFI: S058 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ahmad M Al-Salameh, M.D. Phone: (315) 326-4100 Fax: (315) 343-4782 Address: 29 East Cayuga Street, Oswego, NY 13126 County: Oswego Country: United States Single or Primary Contact: Edward Hale Contact Phone: (315) 349-5683 CLIA #: 33D1077309
PFI: S079 Secondary Site ID: 0000 Certification Type: WAIVER Director: Joseph A Zito, M.D. Phone: (516) 933-6310 Fax: (516) 933-6303 Address: 225 Broadway, Bethpage, NY 11714 County: Nassau Country: United States Single or Primary Contact: Mary Jo Bella Contact Phone: (516) 933-6310 CLIA #: 33D1080387
PFI: S079 Secondary Site ID: 0001 Certification Type: WAIVER Director: Joseph A Zito, M.D. Phone: (516) 933-6310 Fax: (516) 933-6303 Address: 991 Stewart Ave, Bethpage, NY 11714 County: Nassau Country: United States Single or Primary Contact: Mary Jo Bella Contact Phone: (516) 933-6310 CLIA #: 33D1080387
PFI: S079 Secondary Site ID: 0002 Certification Type: WAIVER Director: Joseph A Zito, M.D. Phone: (516) 933-6310 Fax: (516) 933-6303 Address: 5 Union Ave, Bethpage, NY 11714 County: Nassau Country: United States Single or Primary Contact: Mary Jo Bella Contact Phone: (516) 933-6310 CLIA #: 33D1080387
PFI: S086 Secondary Site ID: 0000 Certification Type: WAIVER Director: John Gorski, M.D. Phone: (516) 437-1349 Fax: (516) 437-4753 Address: 1555 Jericho Turnpike, New Hyde Park, NY 11040 County: Nassau Country: United States Single or Primary Contact: Albert Parillo Contact Phone: (516) 250-9054 CLIA #: 33D1079038
PFI: S089 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rayees Nizam, M.D. Phone: (315) 329-7301 Fax: (315) 329-7302 Address: 4308 Medical Center Drive, Fayetteville, NY 13066 County: Onondaga Country: United States Single or Primary Contact: Tabatha Jackson Contact Phone: (315) 329-7301 CLIA #: 33D1079083
PFI: S097 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter L Sosnow, M.D. Phone: (845) 676-4588 Fax: (845) 676-4989 Address: 5259 County Highway 1, Andes, NY 13731 County: Delaware Country: United States Single or Primary Contact: Laurie S Andrews Contact Phone: (845) 676-3537 CLIA #: 33D1081791
PFI: S109 Secondary Site ID: 0000 Certification Type: WAIVER Director: Abraham J Halstein, D.O. Phone: (845) 246-9097 Fax: (845) 246-9230 Address: 1 Main Street, Saugerties, NY 12477 County: Ulster Country: United States Single or Primary Contact: Lisa Benjamin Contact Phone: (845) 246-9097 CLIA #: 33D1080598
PFI: S110 Secondary Site ID: 0000 Certification Type: WAIVER Director: James A Leinhart, M.D. Phone: (607) 547-5469 Fax: (607) 547-5310 Address: 757 County Hwy 26, Fly Creek, NY 13337 County: Otsego Country: United States Single or Primary Contact: Patricia Schultz Contact Phone: (607) 547-2439 CLIA #: 33D1084514