New York State Department of Health, Wadsworth Center
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Nuvance Fishkill Primary Care
PFI: S637 Secondary Site ID: 0000 Certification Type: PPMP Director: Anthony W D'Ambrosio, M.D. Phone: (845) 896-8784 Fax: (845) 896-8793 Address: 200 Westage Business Ctr Dr Ste 240, Fishkill, NY 12524 County: Dutchess Country: United States Single or Primary Contact: Susan Dalonzo Contact Phone: (203) 702-0888 CLIA #: 33D0163252
PFI: S640 Secondary Site ID: 0000 Certification Type: FULL/PPMP Director: Yesha Sheth, M.D. Phone: (315) 394-7542 Fax: (315) 713-6149 Address: 214 King Street, Ogdensburg, NY 13669 County: St. Lawrence Country: United States Single or Primary Contact: Kelly Nowell Contact Phone: (315) 713-6605 CLIA #: 33D0167743
PFI: S645 Secondary Site ID: 0000 Certification Type: WAIVER Director: Brian M Clemency, D.O. Phone: (716) 648-4563 Fax: (716) 648-3531 Address: 5395 Scranton Road, Hamburg, NY 14075 County: Erie Country: United States Single or Primary Contact: Michael Mosier Contact Phone: (716) 989-8864 CLIA #: 33D1107544
PFI: S651 Secondary Site ID: 0000 Certification Type: WAIVER Director: Carlos Roland Salama, M.D. Phone: (718) 593-4528 Fax: (718) 255-6215 Address: 37-63C 83rd St - Suite 1B, Jackson Heights, NY 11372 County: Queens Country: United States Single or Primary Contact: Nathaly Rubio-Torio Contact Phone: (718) 593-4528 CLIA #: 33D1107703
PFI: S652 Secondary Site ID: 0000 Certification Type: PPMP Director: Anthony W D'Ambrosio, M.D. Phone: (845) 229-2123 Fax: (845) 229-6313 Address: 4068 Albany Post Road, Hyde Park, NY 12538 County: Dutchess Country: United States Single or Primary Contact: Susan Dalonzo Contact Phone: (203) 702-0888 CLIA #: 33D1107837
PFI: S658 Secondary Site ID: 0000 Certification Type: WAIVER Director: Leonard S Hojnowski, M.D. Phone: (315) 464-2222 Fax: (315) 464-2225 Address: 550 Harrison Center - Suite G, Syracuse, NY 13202 County: Onondaga Country: United States Single or Primary Contact: Dedra Croll Contact Phone: (315) 464-2222 CLIA #: 33D2000085
PFI: S661 Secondary Site ID: 0000 Certification Type: WAIVER Director: John F Caruso, M.D. Phone: (607) 757-3102 Fax: (607) 757-3101 Address: 14 Village Drive, Endwell, NY 13760 County: Broome Country: United States Single or Primary Contact: Ryan Laclair Contact Phone: (607) 484-6010 CLIA #: 33D2000080
PFI: S663 Secondary Site ID: 0000 Certification Type: PPMP Director: Hang Kyu Park, M.D. Phone: (845) 223-8080 Fax: (845) 223-8081 Address: 942 Route 376 - Suite 16, Wappingers Falls, NY 12590 County: Dutchess Country: United States Single or Primary Contact: Susan Dalonzo Contact Phone: (203) 702-0888 CLIA #: 33D0991911
Adirondack Registered Professional Nursing Services, PLLC
PFI: S665 Secondary Site ID: 0000 Certification Type: WAIVER Director: Robert D Desiderio, M.D. Phone: (518) 886-8251 Fax: (518) 400-1069 Address: 100 Saratoga Village Blvd - Ste 9, Malta, NY 12020 County: Saratoga Country: United States Single or Primary Contact: Kevin Pommenville Contact Phone: (518) 886-8251 CLIA #: 33D2001059
PFI: S666 Secondary Site ID: 0000 Certification Type: PPMP Director: Steven B Weinfeld, M.D. Phone: (212) 751-2100 Fax: (212) 751-2101 Address: 1210 2nd Ave, New York, NY 10065 County: New York Country: United States Single or Primary Contact: Elizabeth Sampson Contact Phone: (212) 751-2100 CLIA #: 33D2001245
PFI: S670 Secondary Site ID: 0000 Certification Type: WAIVER Director: Dorien Spatz, N.P. Phone: (845) 602-2579 Fax: (845) 474-3548 Address: 401 N Middletown Road, Pearl River, NY 10965 County: Rockland Country: United States Single or Primary Contact: Dori Spatz Contact Phone: (845) 602-2888 CLIA #: 33D2001109
PFI: S672 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: William H. Dean, Jr., M.D. Phone: (315) 787-4560 Fax: (315) 787-4557 Address: 196 North Street, Geneva, NY 14456 County: Ontario Country: United States Single or Primary Contact: Elizabeth C Martin Contact Phone: (315) 787-4252 CLIA #: 33D0665310
PFI: S673 Secondary Site ID: 0000 Certification Type: WAIVER Director: John N. Chuey, M.D. Phone: (212) 352-2600 Fax: (212) 620-7599 Address: 309 W 23rd St, New York, NY 10011 County: New York Country: United States Single or Primary Contact: Shane McDonald Contact Phone: (212) 352-2600 CLIA #: 33D0953326
PFI: S674 Secondary Site ID: 0000 Certification Type: WAIVER Director: Sayed S Ali, M.D. Phone: (718) 289-2221 Fax: (718) 289-2323 Address: 271-11 76th Avenue, New Hyde Park, NY 11040 County: Queens Country: United States Single or Primary Contact: Delia L Abitante Contact Phone: (718) 289-2221 CLIA #: 33D2003885
PFI: S678 Secondary Site ID: 0019 Certification Type: WAIVER Director: Leon Rybak, M.D. Phone: (212) 263-7195 Fax: (646) 501-0351 Address: 550 First Ave - 2nd Floor, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Robert Kim Contact Phone: (212) 263-5584 CLIA #: 33D2002683
PFI: S678 Secondary Site ID: 0021 Certification Type: WAIVER Director: Leon Rybak, M.D. Phone: (646) 501-7440 Fax: (212) 263-2290 Address: 333 E 38th St - 6th Floor, New York, NY 10003 County: New York Country: United States Single or Primary Contact: Robert Kim Contact Phone: (646) 501-7291 CLIA #: 33D2002683
PFI: S678 Secondary Site ID: 0020 Certification Type: WAIVER Director: Leon Rybak, M.D. Phone: (212) 598-6373 Fax: (212) 598-6125 Address: 301 E 17th Street, New York, NY 10003 County: New York Country: United States Single or Primary Contact: Robert Kim Contact Phone: (212) 598-6356 CLIA #: 33D2002683
PFI: S678 Secondary Site ID: 0022 Certification Type: WAIVER Director: Leon Rybak, M.D. Phone: (646) 754-3050 Fax: (212) 263-6229 Address: 150 E 32nd Street, New York, NY 10016 County: New York Country: United States Single or Primary Contact: Robert Kim Contact Phone: (646) 589-1836 CLIA #: 33D2002683