New York State Department of Health, Wadsworth Center
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Medical Group of New York PC
PFI: R735 Secondary Site ID: 0000 Certification Type: WAIVER Director: David G Fairchild, M.D. Phone: (914) 337-5300 Fax: (401) 652-0467 Address: 375 White Plains Rd, Eastchester, NY 10709-2826 County: Westchester Country: United States Single or Primary Contact: Maria Medeiros Contact Phone: (401) 770-1610 CLIA #: 33D1063509
PFI: R748 Secondary Site ID: 0000 Certification Type: WAIVER Director: Johnny Kwon, M.D. Phone: (914) 381-7838 Fax: (914) 381-2010 Address: 740 W Boston Post Rd, Mamaroneck, NY 10543 County: Westchester Country: United States Single or Primary Contact: Michael Liverzani Contact Phone: (914) 381-7838 CLIA #: 33D1066318
PFI: R754 Secondary Site ID: 0000 Certification Type: PPMP Director: Muzaffar N. Khan, M.D. Phone: (315) 624-8231 Fax: (315) 797-1884 Address: 1676 Sunset Avenue, Utica, NY 13502 County: Oneida Country: United States Single or Primary Contact: Laura Miazga Contact Phone: (315) 917-8179 CLIA #: 33D1064145
PFI: R759 Secondary Site ID: 0000 Certification Type: WAIVER Director: Ryan P Brecker, M.D. Phone: (585) 924-3959 Fax: (585) 924-3181 Address: 1321 E Victor Rd, Victor, NY 14564 County: Ontario Country: United States Single or Primary Contact: Jared Palmer Contact Phone: (585) 924-3959 CLIA #: 33D1067709
PFI: R762 Secondary Site ID: 0000 Certification Type: WAIVER Director: Khalid P. Sindhu, M.D. Phone: (315) 779-2140 Fax: (315) 779-2145 Address: 22571 Summit Drive, Watertown, NY 13601 County: Jefferson Country: United States Single or Primary Contact: Michael J Smith Contact Phone: (315) 779-2140 CLIA #: 33D1067235
PFI: R766 Secondary Site ID: 0000 Certification Type: WAIVER Director: Matthew C Talbott, M.D. Phone: (607) 243-8441 Fax: (607) 243-7261 Address: 12 Union Street, Dundee, NY 14837 County: Yates Country: United States Single or Primary Contact: Ken Riehl Contact Phone: (315) 729-4176 CLIA #: 33D1065640
PFI: R767 Secondary Site ID: 0000 Certification Type: WAIVER Director: Peter L Sosnow, M.D. Phone: (607) 538-9095 Fax: (607) 538-5595 Address: 243 Scotch Hill Rd, Bloomville, NY 13739 County: Delaware Country: United States Single or Primary Contact: Margaret Wilson Contact Phone: (607) 538-9095 CLIA #: 33D1067552
New Alternatives for Children Diagnostic and Treatment Center
PFI: R768 Secondary Site ID: 0000 Certification Type: WAIVER Director: Alexander L Okun, M.D. Phone: (212) 696-1550 Fax: (917) 464-3662 Address: 825 7th Ave, New York, NY 10019 County: New York Country: United States Single or Primary Contact: Dr. Alex Okun Contact Phone: (212) 651-8033 CLIA #: 33D1068239
PFI: R771 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael Delman, M.D. Phone: (631) 369-7800 Fax: (631) 574-8216 Address: 240 West Main Street, Riverhead, NY 11901 County: Suffolk Country: United States Single or Primary Contact: Lynn Doris Contact Phone: (631) 369-7800 CLIA #: 33D1066228