PFI: S523 Secondary Site ID: 0024 Certification Type: WAIVER Director: Tiffany Bombard, M.D. Phone: (518) 639-4406 Fax: Address: 11287 State Rte 149, Fort Ann, NY 12827 County: Washington Country: United States Single or Primary Contact: Travis Howe Contact Phone: (518) 639-4406 CLIA #: 33D1023278
Tupper Lake Volunteer Ambulance and Emergency Squad
PFI: S523 Secondary Site ID: 0020 Certification Type: WAIVER Director: Tiffany Bombard, M.D. Phone: (518) 359-9321 Fax: (518) 359-9692 Address: 49 High St, Tupper Lake, NY 12986 County: Franklin Country: United States Single or Primary Contact: Travis Howe Contact Phone: (518) 359-9321 CLIA #: 33D1023278
PFI: S524 Secondary Site ID: 0006 Certification Type: WAIVER Director: Robert B. Krausz, M.D. Phone: (718) 260-4670 Fax: (718) 852-0867 Address: 779 East New York Ave, Brooklyn, NY 11203 County: Kings Country: United States Single or Primary Contact: Leah Wagshul Contact Phone: 71826046001005 CLIA #: 33D1099409
Mobile Diagnostic and Treatment Center Extension Clinic
PFI: S524 Secondary Site ID: 0005 Certification Type: WAIVER Director: Robert B. Krausz, M.D. Phone: (718) 260-4600 Fax: (718) 852-0867 Address: 35 Franklin Ave, Brooklyn, NY 11205 County: Kings Country: United States Single or Primary Contact: Leah Wagshul Contact Phone: 71826046001004 CLIA #: 33D1099409
PFI: S524 Secondary Site ID: 0002 Certification Type: WAIVER Director: Robert B. Krausz, M.D. Phone: (845) 794-5090 Fax: Address: 60 Jefferson St - Suite 1, Monticello, NY 12701 County: Sullivan Country: United States Single or Primary Contact: Leah Wagshul Contact Phone: 7182604600305 CLIA #: 33D1099409
ODA Primary Health Care Center Park Ave Limited Service Laboratory
PFI: S524 Secondary Site ID: 0001 Certification Type: WAIVER Director: Robert B. Krausz, M.D. Phone: (718) 260-4600 Fax: (718) 852-0867 Address: 517 Park Avenue, Brooklyn, NY 11205 County: Kings Country: United States Single or Primary Contact: Leah Wagshul Contact Phone: (718) 260-4600 CLIA #: 33D1099409
PFI: S525 Secondary Site ID: 0000 Certification Type: WAIVER Director: Marilyn S Lashlee, N.P. Phone: (845) 855-4848 Fax: (845) 855-4851 Address: 700 Rte 22, Pawling, NY 12564 County: Dutchess Country: United States Single or Primary Contact: Marilyn Lashlee Contact Phone: (845) 855-4848 CLIA #: 33D1104646
PFI: S528 Secondary Site ID: 0000 Certification Type: WAIVER Director: Charles F. Schwartz, D.O. Phone: (518) 841-3651 Fax: (518) 841-7282 Address: 4988 State Hwy 30, Amsterdam, NY 12010 County: Montgomery Country: United States Single or Primary Contact: Mark Preissler Contact Phone: (518) 841-7286 CLIA #: 33D1099783
PFI: S529 Secondary Site ID: 0000 Certification Type: PPMP Director: Paul Jee, M.D. Phone: (845) 677-8358 Fax: (845) 677-6205 Address: 2510 Rte 44, Salt Point, NY 12578 County: Dutchess Country: United States Single or Primary Contact: Susan Dalonzo Contact Phone: (203) 702-0888 CLIA #: 33D1100801
PFI: S532 Secondary Site ID: 0000 Certification Type: PPMP Director: John H. Tu, M.D. Phone: (585) 697-1818 Fax: (585) 697-0822 Address: 100 White Spruce Blvd, Rochester, NY 14623 County: Monroe Country: United States Single or Primary Contact: Denise Forster Contact Phone: (585) 697-1818 CLIA #: 33D1100706
PFI: S536 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mary P O'Brien, P.A. Phone: (585) 968-2000 Fax: (585) 968-0065 Address: 140 W Main Street, Cuba, NY 14727 County: Allegany Country: United States Single or Primary Contact: Norma Kerling Contact Phone: 5859682000266 CLIA #: 33D1101547