PFI: D206 Secondary Site ID: 0000 Certification Type: WAIVER Director: Daniel L Perrault, M.D. Phone: (631) 331-8200 Fax: (631) 331-8259 Address: 100 Highlands Blvd - Suite 101, Port Jefferson, NY 11777 County: Suffolk Country: United States Single or Primary Contact: Denise Driscoll Contact Phone: (631) 331-8200 CLIA #: 33D2211199
PFI: D209 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mickey P Sharma, M.D. Phone: (845) 735-6845 Fax: (845) 735-6855 Address: 582 Veterans Memorial Dr, Pearl River, NY 10965 County: Rockland Country: United States Single or Primary Contact: Paul Belitsis Contact Phone: (845) 351-0000 CLIA #: 33D2211192
PFI: D212 Secondary Site ID: 0000 Certification Type: WAIVER Director: Mickey P Sharma, M.D. Phone: (518) 514-9500 Fax: (518) 514-9400 Address: 1228 Western Ave, Albany, NY 12203 County: Albany Country: United States Single or Primary Contact: Paul Belitsis Contact Phone: (845) 351-0000 CLIA #: 33D2211177
PFI: D225 Secondary Site ID: 0000 Certification Type: WAIVER Director: Irina V Kessler, D.D.S. Phone: (212) 684-8300 Fax: (212) 684-3283 Address: 385 2nd Ave, New York, NY 10010 County: New York Country: United States Single or Primary Contact: Alex Noskov Contact Phone: (212) 684-8300 CLIA #: 33D2211205
PFI: D243 Secondary Site ID: 0000 Certification Type: WAIVER Director: Donald W Jenkins, M.D. Phone: (917) 261-4414 Fax: (917) 261-4420 Address: 30 Hudson Yards - 80th Floor, New York, NY 10012 County: New York Country: United States Single or Primary Contact: Kaitlyn Poon Contact Phone: (917) 261-4414 CLIA #: 33D2212249
PFI: D245 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (917) 667-5330 Fax: (516) 845-5263 Address: 918 Main St - Suite 20, South Farmingdale, NY 60015 County: Nassau Country: United States Single or Primary Contact: Danny Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2212519
PFI: D246 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (201) 660-0934 Fax: (845) 331-0012 Address: 201 Plaza Rd, Kinston, NY 12401 County: Ulster Country: United States Single or Primary Contact: Danny Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2212521
PFI: D247 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (631) 278-2948 Fax: (631) 576-6147 Address: 286 W Main St, Patchogue, NY 11772 County: Suffolk Country: United States Single or Primary Contact: Danny Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2212524
PFI: D249 Secondary Site ID: 0000 Certification Type: WAIVER Director: Zeiad A Fakhouri, M.D. Phone: (585) 865-8890 Fax: (585) 865-0587 Address: 4433 Dewey Ave, Rochester, NY 14616 County: Monroe Country: United States Single or Primary Contact: Danny Rodriguez Contact Phone: (847) 282-2589 CLIA #: 33D2212690
Henry J Carter Specialty Hospital and Nursing Facility
PFI: D251 Secondary Site ID: 0000 Certification Type: FULL/WAIVER Director: Joseph J. Holup, Ph.D. Phone: (646) 686-0307 Fax: (646) 686-1029 Address: 1752 Park Ave, New York, NY 10035 County: New York Country: United States Single or Primary Contact: Marvin Thompson Contact Phone: (646) 686-0315 CLIA #: 33D2053361