New York State Department of Health, Wadsworth Center
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Metro Community Health Centers
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: 1410 East 10th Street, 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
PFI: R583 Secondary Site ID: 0000 Certification Type: PPMP Director: Chelsea A Faso, M.D. Phone: (212) 865-4104 Fax: (212) 864-5375 Address: 690 Amsterdam Ave, New York, NY 10025 County: New York Country: United States Single or Primary Contact: Patricia Engelhardt Contact Phone: (845) 546-8410 CLIA #: 33D1056993
PFI: R585 Secondary Site ID: 0000 Certification Type: WAIVER Director: Heidi P Cordi, M.D. Phone: (518) 328-8113 Fax: Address: 19 Town Garage Rd, East Nassau, NY 12062 County: Rensselaer Country: United States Single or Primary Contact: Mitchell Levinn Contact Phone: (518) 766-5587 CLIA #: 33D1056992
PFI: R633 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ben Z Cohen, M.D. Phone: (212) 772-6830 Fax: (212) 772-6883 Address: 138-140 East 80th Street, New York, NY 10075 County: New York Country: United States Single or Primary Contact: Klein Michael Contact Phone: (908) 472-0440 CLIA #: 33D1059281
Advantage Care Diagnostic Treatment Center - Feeport
PFI: R635 Secondary Site ID: 0001 Certification Type: WAIVER Director: Mary F Mulqueen, M.D. Phone: 51668644012 Fax: Address: 230 Hanse Avenue, Freeport, NY 11520 County: Nassau Country: United States Single or Primary Contact: Mary Fullam Contact Phone: (516) 686-4400 CLIA #: 33D1057847
PFI: R635 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mary F Mulqueen, M.D. Phone: (516) 686-4400 Fax: (516) 629-3046 Address: 189 Wheatley Rd, Brookville, NY 11545 County: Nassau Country: United States Single or Primary Contact: Mary Fullam Contact Phone: (516) 686-4400 CLIA #: 33D1057847
PFI: R637 Secondary Site ID: 0000 Certification Type: WAIVER Director: Rose Anna G Roantree, D.O. Phone: (845) 497-3186 Fax: (845) 497-3185 Address: 7 North St, Washingtonville, NY 10992 County: Orange Country: United States Single or Primary Contact: Brian Bates Contact Phone: 845497318641 CLIA #: 33D1059107
PFI: R644 Secondary Site ID: 0000 Certification Type: WAIVER Director: Nina R Priven, M.D. Phone: (212) 523-8672 Fax: (212) 362-2110 Address: 2109 Broadway, New York, NY 10023 County: New York Country: United States Single or Primary Contact: Elizabeth Hinc Contact Phone: (212) 362-2208 CLIA #: 33D0707055
PFI: R645 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brendan C O'Connor, M.D. Phone: (585) 461-0410 Fax: (585) 461-4545 Address: 1732 South Ave, Rochester, NY 14620 County: Monroe Country: United States Single or Primary Contact: Jason Goldwasser Contact Phone: (585) 461-0410 CLIA #: 33D1059662
PFI: R650 Secondary Site ID: 0000 Certification Type: WAIVER Director: Scott M Glick, D.O. Phone: (315) 524-5750 Fax: (315) 524-4501 Address: 6132 Furnace Road, Ontario, NY 14519 County: Wayne Country: United States Single or Primary Contact: Timothy Brower Contact Phone: (585) 766-7597 CLIA #: 33D1063415
PFI: R656 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert A Sable, M.D. Phone: (718) 548-7900 Fax: (718) 548-8900 Address: 5500 Broadway - Suite A, Bronx, NY 10463 County: Bronx Country: United States Single or Primary Contact: Steven Housberg Contact Phone: (718) 312-3518 CLIA #: 33D1060081
PFI: R664 Secondary Site ID: 0000 Certification Type: WAIVER Director: James T Pozniakas, M.D. Phone: (518) 512-2545 Fax: (518) 512-2935 Address: 26 Corporate Circle, Albany, NY 12212 County: Albany Country: United States Single or Primary Contact: Jason Nichols Contact Phone: (518) 512-2545 CLIA #: 33D1059926