New York State Department of Health, Wadsworth Center
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Stony Brook Children's Service
PFI: T002 Secondary Site ID: 0002 Certification Type: PPMP Director: Saiqa H Nabi, M.D. Phone: (631) 638-2375 Fax: (631) 581-9561 Address: 269 E Main St, East Islip, NY 11730 County: Suffolk Country: United States Single or Primary Contact: Tracey Dupree Contact Phone: (631) 638-2379 CLIA #: 33D0993508
PFI: T003 Secondary Site ID: 0001 Certification Type: WAIVER Director: William M Caldwell, D.O. Phone: (631) 723-5000 Fax: (631) 723-5010 Address: 225 W Montauk Highway, Hampton Bays, NY 11946 County: Suffolk Country: United States Single or Primary Contact: John Rohan Contact Phone: (631) 444-2975 CLIA #: 33D2011541
PFI: T003 Secondary Site ID: 0002 Certification Type: WAIVER Director: William M Caldwell, D.O. Phone: (631) 638-0773 Fax: (631) 638-0765 Address: 500 Commack Rd - Suite 100, Commack, NY 11725 County: Suffolk Country: United States Single or Primary Contact: John Rohan Contact Phone: (631) 444-2976 CLIA #: 33D2011541
Stony Brook Anaesthesiology UFPC - Pain Management Center
PFI: T003 Secondary Site ID: 0000 Certification Type: WAIVER Director: William M Caldwell, D.O. Phone: (631) 638-0800 Fax: (631) 638-0765 Address: 4 Smith Haven Mall, Suite 102, Lake George, NY 11755 County: Suffolk Country: United States Single or Primary Contact: John Rohan Contact Phone: (631) 444-2975 CLIA #: 33D2011541
PFI: T022 Secondary Site ID: 0000 Certification Type: FULL/PPMP Director: Faisal M. Huq Ronny, M.D., Ph.D. Phone: (212) 238-7044 Fax: (212) 238-7562 Address: 227 Madison St - Rm 140 1st Fl, New York, NY 10002 County: New York Country: United States Single or Primary Contact: Shana Ahmad Contact Phone: (212) 238-7044 CLIA #: 33D0674138
PFI: T025 Secondary Site ID: 0000 Certification Type: WAIVER Director: Richard E Stutt, M.D. Phone: (845) 687-9847 Fax: (845) 687-9751 Address: 30 School Hill Road, High Falls, NY 12440 County: Ulster Country: United States Single or Primary Contact: Charles Foster Contact Phone: (845) 687-9847 CLIA #: 33D2011864
PFI: T028 Secondary Site ID: 0165 Certification Type: WAIVER Director: Rubina S. Cocker, M.D. Phone: (516) 628-5910 Fax: (516) 628-5920 Address: 8 Greenfield Rd, Syosset, NY 11791 County: Nassau Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2013220
NHPP Smith Institute for Urology at East 54th Street
PFI: T028 Secondary Site ID: 0134 Certification Type: WAIVER Director: Rubina S. Cocker, M.D. Phone: (212) 570-6800 Fax: (212) 734-7425 Address: 245 E 54th St - Suite 2N, New York, NY 10022 County: New York Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2013220
PFI: T028 Secondary Site ID: 0161 Certification Type: WAIVER Director: Rubina S. Cocker, M.D. Phone: (516) 416-7200 Fax: (516) 416-7290 Address: 210 Mineola Blvd, Mineola, NY 11501 County: Nassau Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2013220
PFI: T028 Secondary Site ID: 0159 Certification Type: WAIVER Director: Rubina S. Cocker, M.D. Phone: (516) 374-5024 Fax: (516) 374-5816 Address: 215 Rockaway Tpke, Lawrence, NY 11559 County: Queens Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2013220
PFI: T028 Secondary Site ID: 0158 Certification Type: WAIVER Director: Rubina S. Cocker, M.D. Phone: (718) 520-6620 Fax: (718) 520-6630 Address: 106-14 70th Ave, Forest Hills, NY 11375 County: Queens Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2013220
PFI: T028 Secondary Site ID: 0154 Certification Type: WAIVER Director: Rubina S. Cocker, M.D. Phone: (631) 874-2900 Fax: (631) 874-2984 Address: 516 Montauk Hwy - Suite 1, East Moriches, NY 11940 County: Suffolk Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2013220
PFI: T028 Secondary Site ID: 0153 Certification Type: WAIVER Director: Rubina S. Cocker, M.D. Phone: (631) 757-9500 Fax: (631) 757-2325 Address: 210 E Main St - Suite 12, Huntington, NY 11743 County: Suffolk Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2013220
PFI: T028 Secondary Site ID: 0150 Certification Type: WAIVER Director: Rubina S. Cocker, M.D. Phone: (631) 815-3300 Fax: (631) 815-3301 Address: 205 S Ocean Ave - 1st Floor, Patchogue, NY 11772 County: Suffolk Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2013220
North Shore Radiation Therapy at Greenlawn Member of NHPP
PFI: T028 Secondary Site ID: 0149 Certification Type: WAIVER Director: Rubina S. Cocker, M.D. Phone: (631) 427-2273 Fax: (631) 271-3107 Address: 270 Pulaski Rd - Suite C, Greenlawn, NY 11740 County: Suffolk Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2013220
PFI: T028 Secondary Site ID: 0146 Certification Type: WAIVER Director: Rubina S. Cocker, M.D. Phone: (631) 689-5400 Fax: (631) 689-8247 Address: 14 Technology Dr - Suite 10, Setauket, NY 11733 County: Suffolk Country: United States Single or Primary Contact: Christopher Young Contact Phone: (516) 416-6220 CLIA #: 33D2013220