PFI: E303 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kristin A Matteson, D.O. Phone: (716) 712-0864 Fax: (716) 712-0869 Address: 220 Redtail - Suite 2, Orchard Park, NY 14127 County: Erie Country: United States Single or Primary Contact: Dawn Coburn Contact Phone: (716) 206-1568 CLIA #: 33D2234221
PFI: E304 Secondary Site ID: 0001 Certification Type: WAIVER Director: Michael H Kueker, M.D. Phone: (518) 897-1454 Fax: (518) 891-6813 Address: 79 Canaras Ave, Saranac Lake, NY 12983 County: Franklin Country: United States Single or Primary Contact: Erika Bezio Contact Phone: (518) 897-1454 CLIA #: 33D2238673
PFI: E304 Secondary Site ID: 0000 Certification Type: WAIVER Director: Michael H Kueker, M.D. Phone: (518) 897-1551 Fax: (518) 891-4224 Address: 141 Petrova Ave, Saranac Lake, NY 12983 County: Franklin Country: United States Single or Primary Contact: Erika Bezio Contact Phone: (518) 897-1467 CLIA #: 33D2238673
PFI: E304 Secondary Site ID: 0002 Certification Type: WAIVER Director: Michael H Kueker, M.D. Phone: (518) 891-3198 Fax: (518) 891-4575 Address: 93 Main St, Bloomingdale, NY 12913 County: Essex Country: United States Single or Primary Contact: Erika Bezio Contact Phone: (518) 897-1753 CLIA #: 33D2238673
PFI: E305 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kim Petrone, M.D. Phone: (585) 697-6800 Fax: (585) 342-9166 Address: 920 Cherry Ridge Blvd, Webster, NY 14580 County: Monroe Country: United States Single or Primary Contact: Eve Scofield Contact Phone: (585) 697-6411 CLIA #: 33D2234184
PFI: E316 Secondary Site ID: 0000 Certification Type: WAIVER Director: Phil Occhino, Pharm.D. Phone: (716) 423-2313 Fax: (716) 423-2329 Address: 3920 Main St. Ste 150, Amherst, NY 14226 County: Erie Country: United States Single or Primary Contact: Phil Occhino Contact Phone: (716) 423-2313 CLIA #: 33D2185416
PFI: E333 Secondary Site ID: 0000 Certification Type: WAIVER Director: Demy Sebastian, N.P. Phone: (646) 901-4699 Fax: (646) 901-4702 Address: 2484 Adam Clayton Powell Jr Blvd, New York, NY 10030 County: New York Country: United States Single or Primary Contact: Davis Sebastian Contact Phone: (845) 323-1923 CLIA #: 33D2236788
PFI: E338 Secondary Site ID: 0000 Certification Type: WAIVER Director: Russell Kamer, M.D. Phone: (914) 288-9396 Fax: (914) 288-9516 Address: 15 N Broadway - Suite E, White Plains, NY 10601 County: Westchester Country: United States Single or Primary Contact: Contact Phone: CLIA #: 33D2205856
PFI: E342 Secondary Site ID: 0000 Certification Type: WAIVER Director: Johanna C Innes, M.D. Phone: (585) 599-5088 Fax: Address: 9993 Alleghany Rd, Darien Lake, NY 14040 County: Genesee Country: United States Single or Primary Contact: Peter Demmer Contact Phone: (585) 599-5088 CLIA #: 33D2236793
PFI: E344 Secondary Site ID: 0000 Certification Type: WAIVER Director: Kristen L Thornton, M.D. Phone: (315) 204-0397 Fax: (855) 418-2317 Address: 5015 Campuswood Dr - Suite 107, East Syracuse, NY 13057 County: Onondaga Country: United States Single or Primary Contact: Cassandra LaFlair Contact Phone: (315) 204-0397 CLIA #: 33D2237611